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General NPI Number Information
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NPI Number | 1518263045
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Entity Type | Organization
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Legal Business Name | PRESCIOUS CARE
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 2511 NW 72ND AVE
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City | SUNRISE
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State | FL
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Zip | 33313-2054
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Country | US
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Telephone | 954-661-3910
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Fax | 954-616-5155
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Provider Business Mailing Address
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Address Line | 2511 NW 72ND AVE
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City | SUNRISE
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State | FL
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Zip | 33313-2054
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Country | US
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Telephone | 954-661-3910
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Fax | 954-616-5155
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Authorized Official
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Title or Position | OWNER
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Name | KITTY WILLIAMS
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Credential |
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Telephone | 954-661-3910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 6905790
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License Number State | FL
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