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General NPI Number Information
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NPI Number | 1497197388
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Entity Type | Organization
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Legal Business Name | ROYAL LIVING AT SUNRISE ALF INC
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 3181 NW 94TH WAY
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City | SUNRISE
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State | FL
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Zip | 33351-7134
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Country | US
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Telephone | 954-748-1930
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Fax | 954-748-1930
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Provider Business Mailing Address
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Address Line | 3181 NW 94TH WAY
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City | SUNRISE
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State | FL
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Zip | 33351-7134
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Country | US
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Telephone | 954-748-1930
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Fax | 954-748-1930
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JAPINDER SAHI
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Credential | LPN
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Telephone | 954-748-1930
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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 | AL10471
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License Number State | FL
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