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General NPI Number Information
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NPI Number | 1477896272
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Entity Type | Organization
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Legal Business Name | ENGLISH ESTATES ALF, INC.
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 1340 OXFORD RD
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City | MAITLAND
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State | FL
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Zip | 32751-3573
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Country | US
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Telephone | 407-339-0389
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 OXFORD RD
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City | MAITLAND
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State | FL
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Zip | 32751-3573
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Country | US
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Telephone | 407-339-0389
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. LANETTE KAY HITECHEW
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Credential |
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Telephone | 407-339-0389
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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 | AL10968
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License Number State | FL
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