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General NPI Number Information
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NPI Number | 1174953632
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Entity Type | Organization
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Legal Business Name | WM III TRS LLC
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 124 GREEN AVE
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City | WOODBURY
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State | NJ
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Zip | 08096-2768
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Country | US
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Telephone | 856-599-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 189 S ORANGE AVE UNIT 1700
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City | ORLANDO
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State | FL
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Zip | 32801-3254
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Country | US
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Telephone | 407-999-7679
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SHARON KAISER
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Credential |
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Telephone | 407-999-7679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | NJ
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