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General NPI Number Information
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NPI Number | 1437653789
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Entity Type | Organization
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Legal Business Name | VIP CARE PAVILION, LLC
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 6810 SW 7TH STREET
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City | MARGATE
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State | FL
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Zip | 33068-2404
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Country | US
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Telephone | 954-971-2286
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Fax |
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Provider Business Mailing Address
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Address Line | 6810 SW 7TH STREET
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City | MARGATE
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State | FL
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Zip | 33068-2404
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Country | US
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Telephone | 954-971-2286
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | PILAR CARVAJAL
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Credential |
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Telephone | 800-475-9914
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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 | 4783
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License Number State | FL
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Taxonomy #2
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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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