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General NPI Number Information
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NPI Number | 1437000247
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Entity Type | Organization
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Legal Business Name | THE TERRACE OF TITUSVILLE, LLC
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 1446 OVERLOOK TER
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City | TITUSVILLE
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State | FL
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Zip | 32780-4336
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Country | US
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Telephone | 321-291-3722
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Fax | 321-225-4757
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Provider Business Mailing Address
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Address Line | PO BOX 253
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City | SHARPES
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State | FL
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Zip | 32959-0253
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Country | US
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Telephone | 321-291-3722
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | THE TERRACE OF TITUSVILLE
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Credential |
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Telephone | 321-291-3722
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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 |
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License Number State |
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