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General NPI Number Information
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NPI Number | 1225207665
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Entity Type | Organization
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Legal Business Name | BHOODRAM PARSARAM
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1174 WYNNEWOOD DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-5638
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Country | US
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Telephone | 561-687-3280
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Fax | 561-687-3280
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Provider Business Mailing Address
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Address Line | 1174 WYNNEWOOD DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-5638
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Country | US
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Telephone | 561-687-3280
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Fax | 561-687-3280
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | BHOODRAM PARSARAM
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Credential |
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Telephone | 561-687-3280
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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 | AL10137
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License Number State | FL
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