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General NPI Number Information
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NPI Number | 1548685571
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Entity Type | Organization
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Legal Business Name | POWERS HEALTH SYSTEMS, INC
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 1230 POWERS AVE
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City | HOLLY HILL
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State | FL
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Zip | 32117-2604
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Country | US
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Telephone | 386-252-7082
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Fax | 386-238-8800
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Provider Business Mailing Address
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Address Line | 1230 POWERS AVE
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City | HOLLY HILL
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State | FL
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Zip | 32117-2604
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Country | US
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Telephone | 386-252-7082
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Fax | 386-238-8800
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOY IWENOFU
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Credential |
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Telephone | 386-451-0567
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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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