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General NPI Number Information
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NPI Number | 1205171337
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Entity Type | Organization
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Legal Business Name | ARGOSINO-DEGUZMAN CORP.
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 42 PINE TREE DR
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City | PALM COAST
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State | FL
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Zip | 32164-4836
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Country | US
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Telephone | 386-283-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WAINSHIRE PL
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City | PALM COAST
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State | FL
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Zip | 32164-7675
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Country | US
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Telephone | 386-283-3300
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MARIA G DEGUZMAN
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Credential |
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Telephone | 386-283-3300
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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 | AL#9081
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License Number State | FL
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