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General NPI Number Information
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NPI Number | 1508918913
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Entity Type | Organization
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Legal Business Name | ESTHER H HART ASSISTED LIVING FACILITIES INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 W BLUE HERON BLVD
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-4428
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Country | US
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Telephone | 561-848-0047
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Fax | 561-848-4217
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Provider Business Mailing Address
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Address Line | 131 W BLUE HERON BLVD
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-4428
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Country | US
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Telephone | 561-848-0047
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Fax | 561-848-4217
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS HOWARD
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Credential |
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Telephone | 561-848-0047
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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 | AL9689
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License Number State | FL
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