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General NPI Number Information
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NPI Number | 1477078574
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Entity Type | Organization
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Legal Business Name | SONATA COCONUT CREEK, LLC
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4175 W SAMPLE RD
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4456
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Country | US
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Telephone | 954-975-6399
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Fax | 954-975-9538
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Provider Business Mailing Address
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Address Line | 4175 W SAMPLE RD
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4456
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Country | US
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Telephone | 954-975-6399
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Fax | 954-975-9538
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Authorized Official
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Title or Position | BUSINESS OFFICE DIRECTOR
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Name | LORI ARONSON
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Credential |
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Telephone | 954-975-6399
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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 | AL9784
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License Number State | FL
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