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General NPI Number Information
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NPI Number | 1467702092
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Entity Type | Organization
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Legal Business Name | FLORIDA SENIOR CARE, INC
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 2039 N UNIVERSITY DR
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City | SUNRISE
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State | FL
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Zip | 33322-3936
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Country | US
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Telephone | 954-530-9065
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Fax | 954-530-9548
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Provider Business Mailing Address
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Address Line | 2039 N UNIVERSITY DR
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City | SUNRISE
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State | FL
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Zip | 33322-3936
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Country | US
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Telephone | 954-530-9065
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Fax | 954-530-9548
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARK ANTHONY ALIE
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Credential |
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Telephone | 954-709-4932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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