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General NPI Number Information
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NPI Number | 1235479452
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Entity Type | Organization
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Legal Business Name | JULIES RETIREMENT RESORT, INC #2
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 02/25/2013
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Provider Practice Location Address
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Address Line | 2528 WOODHAVEN CT
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City | ORLANDO
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State | FL
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Zip | 32818-8901
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Country | US
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Telephone | 407-296-9349
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Fax |
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Provider Business Mailing Address
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Address Line | 2528 WOODHAVEN CT
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City | ORLANDO
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State | FL
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Zip | 32818-8901
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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/ADMINISTRATOR
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Name | RADIKA SINGH
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Credential |
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Telephone | 407-296-9349
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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 | 10088
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License Number State | FL
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