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General NPI Number Information
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NPI Number | 1487681656
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Entity Type | Organization
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Legal Business Name | PLANTATION NURSING & REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 4250 NW FIFTH STREET
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City | PLANTATION
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State | FL
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Zip | 33317-2160
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Country | US
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Telephone | 954-587-3296
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Fax | 954-587-0664
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Provider Business Mailing Address
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Address Line | 4250 NW FIFTH STREET
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City | PLANTATION
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State | FL
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Zip | 33317-2160
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Country | US
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Telephone | 954-587-3296
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Fax | 954-587-0664
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Authorized Official
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Title or Position | ADMINISTRATOE
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Name | MR. NEIL SUTTON
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Credential |
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Telephone | 954-587-3296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF1447096
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License Number State | FL
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