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General NPI Number Information
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NPI Number | 1265694558
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Entity Type | Organization
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Legal Business Name | HAMPTON COURT NURSING CENTER LLC
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 12/04/2013
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Provider Practice Location Address
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Address Line | 16100 NW 2ND AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-6504
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Country | US
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Telephone | 305-354-8800
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Fax | 305-354-8888
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Provider Business Mailing Address
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Address Line | 16100 NW 2ND AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-6504
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Country | US
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Telephone | 305-354-8800
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Fax | 305-354-8888
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Authorized Official
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Title or Position | CEO
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Name | MS. HELAYNE STERN
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Credential | REGISTERED NURSE
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Telephone | 305-354-8800
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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 | SNF11930952
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License Number State | FL
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