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General NPI Number Information
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NPI Number | 1396020921
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Entity Type | Organization
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Legal Business Name | THE VILLAS OF TAMPA LLC
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 10515 MEMORIAL HWY
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City | TAMPA
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State | FL
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Zip | 33615-2505
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Country | US
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Telephone | 813-891-0549
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Fax | 813-925-3825
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Provider Business Mailing Address
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Address Line | 10515 MEMORIAL HWY
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City | TAMPA
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State | FL
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Zip | 33615-2505
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Country | US
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Telephone | 813-891-0549
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Fax | 813-925-3825
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ROBERT A LOOMIS
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Credential |
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Telephone | 813-891-0549
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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 | AL10368
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License Number State | FL
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