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General NPI Number Information
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NPI Number | 1447072459
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Entity Type | Organization
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Legal Business Name | VERA ASSISTED LIVING FACILITIES FLORIDA LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 109 N SEMINOLE AVE
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City | INVERNESS
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State | FL
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Zip | 34450-4148
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Country | US
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Telephone | 352-344-5555
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Fax | 352-726-4040
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Provider Business Mailing Address
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Address Line | 100 E PINE ST STE 110
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City | ORLANDO
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State | FL
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Zip | 32801-2759
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Country | US
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Telephone | 239-221-1144
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DHARMA NUKARAPU
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Credential |
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Telephone | 239-221-1144
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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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