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General NPI Number Information
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NPI Number | 1174969869
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Entity Type | Organization
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Legal Business Name | OPEN ARMS ASSISTED LIVING, INCOPORATION
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 4652 BELVEDERE RD
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City | HAVERHILL
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State | FL
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Zip | 33415-1326
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Country | US
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Telephone | 561-478-9345
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Fax | 561-640-7254
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Provider Business Mailing Address
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Address Line | 4652 BELVEDERE RD
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City | HAVERHILL
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State | FL
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Zip | 33415-1326
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Country | US
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Telephone | 561-478-9345
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Fax | 561-640-7254
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIA MUNOZ
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Credential |
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Telephone | 561-932-8407
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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 | AL9967
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License Number State | FL
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