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General NPI Number Information
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NPI Number | 1184861098
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Entity Type | Organization
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Legal Business Name | KAMANI OF THE PALM BEACH, INC.
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 3217 BROADWAY AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-5136
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Country | US
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Telephone | 561-844-5313
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Fax |
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Provider Business Mailing Address
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Address Line | 6266 S CONGRESS AVE STE L5
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City | LANTANA
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State | FL
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Zip | 33462-2308
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Country | US
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Telephone | 561-649-8535
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NANCY ANN HANLON
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Credential |
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Telephone | 561-649-8535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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