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General NPI Number Information
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NPI Number | 1457751521
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Entity Type | Organization
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Legal Business Name | SARASOTA ASSISTED LIVING LLC
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 3251 PROCTOR RD
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City | SARASOTA
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State | FL
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Zip | 34231-8538
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Country | US
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Telephone | 941-444-9398
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Fax | 941-296-7925
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Provider Business Mailing Address
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Address Line | 3251 PROCTOR RD
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City | SARASOTA
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State | FL
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Zip | 34231-8538
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Country | US
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Telephone | 941-444-9398
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Fax | 941-296-7925
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Authorized Official
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Title or Position | CFO
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Name | MR. JOSEPH J VINCE
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Credential | CPA
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Telephone | 330-501-9863
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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 | AL12551
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License Number State | FL
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