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General NPI Number Information
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NPI Number | 1265811897
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Entity Type | Organization
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Legal Business Name | RETIREMENT THREE LLC.
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 3890 WOODRIDGE DR
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City | THE VILLAGES
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State | FL
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Zip | 32162-7186
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Country | US
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Telephone | 352-674-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 3890 WOODRIDGE DR
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City | THE VILLAGES
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State | FL
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Zip | 32162-7186
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Country | US
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Telephone | 352-674-4700
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Fax | 352-674-4701
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICIA HOLLOWAY
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Credential |
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Telephone | 352-674-4700
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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 | 12670
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License Number State | FL
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