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General NPI Number Information
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NPI Number | 1255357703
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Entity Type | Organization
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Legal Business Name | BROWARD NURSING & REHABILITATION CENTER,LLC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 1330 S ANDREWS AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33316-1838
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Country | US
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Telephone | 954-524-5587
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Fax | 954-463-4428
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Provider Business Mailing Address
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Address Line | 1330 S ANDREWS AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33316-1838
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Country | US
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Telephone | 954-524-5587
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Fax | 954-463-4428
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOHN HYMANS
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Credential |
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Telephone | 954-524-5587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF10670962
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License Number State | FL
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