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General NPI Number Information
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NPI Number | 1417257965
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Entity Type | Organization
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Legal Business Name | SPECIAL SENIORS OF INVERRARY INC.
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 7471 NW 35TH CT
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City | LAUDERHILL
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State | FL
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Zip | 33319-4919
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Country | US
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Telephone | 954-746-8550
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Fax | 954-572-8096
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Provider Business Mailing Address
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Address Line | 7471 NW 35TH CT
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City | LAUDERHILL
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State | FL
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Zip | 33319-4919
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Country | US
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Telephone | 954-746-8550
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Fax | 954-572-8096
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SIMONE LEONICA KENNEDY
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Credential |
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Telephone | 954-746-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | AL10239
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License Number State | FL
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