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General NPI Number Information
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NPI Number | 1275953887
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Entity Type | Organization
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Legal Business Name | ARISTOCRAT REHAB LLC
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 10949 PARNU ST
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City | NAPLES
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State | FL
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Zip | 34109-1405
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Country | US
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Telephone | 239-592-5501
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Fax | 239-592-1774
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Provider Business Mailing Address
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Address Line | 10949 PARNU ST
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City | NAPLES
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State | FL
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Zip | 34109-1405
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Country | US
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Telephone | 239-592-5501
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Fax | 239-592-1774
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Authorized Official
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Title or Position | MGR
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Name | MR. JOHN EARL WARREN
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Credential |
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Telephone | 850-258-0316
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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 | AL8042
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License Number State | FL
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