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General NPI Number Information
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NPI Number | 1225673601
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH FAMILY HOME 2, LLC
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Dates
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Enumeration Date | 11/09/2019
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Last Update Date | 11/09/2019
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Provider Practice Location Address
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Address Line | 1451 THE 12TH FAIRWAY
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City | WELLINGTON
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State | FL
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Zip | 33414-5708
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Country | US
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Telephone | 954-993-7002
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Fax |
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Provider Business Mailing Address
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Address Line | 599 CALAMINT PT
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-4213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA MCEWAN
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Credential |
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Telephone | 954-993-7002
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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 |
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