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General NPI Number Information
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NPI Number | 1427241942
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Entity Type | Organization
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Legal Business Name | BAY AREA SOLUTIONS FOR INDEPENDENCE
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 615 BRYAN RD
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City | BRANDON
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State | FL
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Zip | 33511-6129
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Country | US
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Telephone | 813-685-8400
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Fax | 813-685-8488
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Provider Business Mailing Address
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Address Line | 615 BRYAN RD
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City | BRANDON
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State | FL
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Zip | 33511-6129
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Country | US
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Telephone | 813-685-8400
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Fax | 813-685-8488
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Authorized Official
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Title or Position | COO/VP
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Name | MR. CYRIL F KEPIC
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Credential |
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Telephone | 813-685-8400
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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 | AL10976
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License Number State | FL
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