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General NPI Number Information
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NPI Number | 1235701319
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Entity Type | Organization
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Legal Business Name | ASSISTED LIVING & ADULT CARE LLC
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 242 NE 42ND ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-3522
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Country | US
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Telephone | 954-933-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 242 NE 42ND ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-3522
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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 | ADMIN
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Name | JENNIFER LUBIN
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Credential |
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Telephone | 561-809-5627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 364SL0600X
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Taxonomy Name | Long-Term Care Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #7
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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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