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General NPI Number Information
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NPI Number | 1427829266
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Entity Type | Organization
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Legal Business Name | E.L. MAOR SENIOR LIVING, LLC
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 7821 42ND ST N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2519
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Country | US
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Telephone | 727-481-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 13013 SEMINOLE BLVD UNIT 1182
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City | LARGO
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State | FL
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Zip | 33778-2124
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | CHERIA EDWARDS
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Credential |
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Telephone | 727-481-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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