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General NPI Number Information
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NPI Number | 1447417852
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Entity Type | Organization
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Legal Business Name | FLORIDA BAPTIST RETIREMENT CENTERS INC.
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 1006 33RD ST
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City | VERO BEACH
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State | FL
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Zip | 32960-6910
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Country | US
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Telephone | 772-567-5248
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Fax | 772-567-7507
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Provider Business Mailing Address
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Address Line | 1006 33RD ST
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City | VERO BEACH
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State | FL
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Zip | 32960-6910
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Country | US
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Telephone | 772-567-5248
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Fax | 772-567-7507
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. GRETCHEN WARD
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Credential |
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Telephone | 772-567-5248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | SNF1152096
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License Number State | FL
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