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General NPI Number Information
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NPI Number | 1265718449
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Entity Type | Organization
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Legal Business Name | DANUTKA INC
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 5711-21 NW 28TH STREET
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City | LAUDERHILL
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State | FL
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Zip | 33313
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Country | US
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Telephone | 954-485-3244
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Fax | 954-730-7761
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Provider Business Mailing Address
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Address Line | 5721 NW 28TH STREET
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City | LAUDERHILL
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State | FL
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Zip | 33313
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Country | US
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Telephone | 954-485-3244
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Fax | 954-730-7761
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DANUTA M WALACH
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Credential |
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Telephone | 954-485-3244
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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 | AL5835
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License Number State | FL
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