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General NPI Number Information
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NPI Number | 1336581388
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Entity Type | Organization
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Legal Business Name | ARBOR COVE ALF OF FLORIDA INC
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 305 N HIAWASSEE RD
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City | ORLANDO
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State | FL
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Zip | 32835-1016
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Country | US
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Telephone | 407-294-3762
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Fax |
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Provider Business Mailing Address
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Address Line | 849 WOOD BRIAR LOOP
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City | SANFORD
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State | FL
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Zip | 32771-5434
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Country | US
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Telephone | 407-322-8226
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Fax | 407-322-8226
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Authorized Official
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Title or Position | VP / TREASURER
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Name | JONATHAN M DUAZO
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Credential |
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Telephone | 407-294-3762
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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 | AL9443
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License Number State | FL
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