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General NPI Number Information
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NPI Number | 1497389548
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Entity Type | Organization
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Legal Business Name | CARING PARTNERS ASSISTED LIVING SERVICES LLC
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 13674 STAIMFORD DR
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City | WELLINGTON
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State | FL
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Zip | 33414-8939
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Country | US
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Telephone | 561-568-5338
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Fax |
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Provider Business Mailing Address
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Address Line | 3114 PAYSON WAY
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City | WELLINGTON
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State | FL
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Zip | 33414-3401
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Country | US
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Telephone | 917-757-0391
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HERMAH BURKE FOSTER
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Credential |
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Telephone | 917-757-0391
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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 |
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License Number State |
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