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General NPI Number Information
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NPI Number | 1497996656
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Entity Type | Organization
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Legal Business Name | NOSA FUTURA CORPORATION
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 8679 POCAHONTAS TRL
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6063
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Country | US
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Telephone | 757-476-6721
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Fax | 757-476-6722
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Provider Business Mailing Address
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Address Line | 8679 POCAHONTAS TRL
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6063
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Country | US
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Telephone | 757-476-6721
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Fax | 757-476-6722
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DR. PEDRO BECERRA
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Credential |
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Telephone | 757-476-6721
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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 | 163W00000X
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License Number State | VA
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