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General NPI Number Information
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NPI Number | 1528052321
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Entity Type | Organization
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Legal Business Name | PINES OF SARASOTA INC
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 1501 N ORANGE AVE
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City | SARASOTA
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State | FL
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Zip | 34236-2631
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Country | US
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Telephone | 941-365-0250
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Fax | 941-365-4121
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Provider Business Mailing Address
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Address Line | 1501 N ORANGE AVE
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City | SARASOTA
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State | FL
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Zip | 34236-2631
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Country | US
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Telephone | 941-365-0250
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Fax | 941-365-4121
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Authorized Official
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Title or Position | ALF ADMINISTRATOR
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Name | MS. ROSEMARY L CARBONELLI
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Credential | MHA
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Telephone | 941-365-0250
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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 | AL7450
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License Number State | FL
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