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General NPI Number Information
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NPI Number | 1477835635
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Entity Type | Organization
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Legal Business Name | SENIORBRIDGE FAMILY COMPANIES (FL), INC
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 825 S US HIGHWAY 1 SUITE 230
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City | JUPITER
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State | FL
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Zip | 33477-5976
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Country | US
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Telephone | 561-575-5942
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Fax |
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Provider Business Mailing Address
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Address Line | 845 3RD AVE 7TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022-6601
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Country | US
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Telephone | 212-994-6000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | DOROTHY BURNS
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Credential |
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Telephone | 321-258-7709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 30211196
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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