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General NPI Number Information
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NPI Number | 1528796885
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Entity Type | Organization
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Legal Business Name | HAMPTON BELLEVIEW ALF, LLC
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 10590 SE 62ND AVENUE RD
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City | BELLEVIEW
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State | FL
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Zip | 34420-3004
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Country | US
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Telephone | 352-245-6201
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Fax | 352-433-0728
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Provider Business Mailing Address
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Address Line | 1740 SE 18TH ST STE 902
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City | OCALA
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State | FL
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Zip | 34471-5445
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Country | US
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Telephone | 352-387-1830
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Fax | 352-433-0728
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Authorized Official
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Title or Position | CEO
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Name | PEDER JOHNSEN
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Credential |
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Telephone | 352-387-1830
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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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