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General NPI Number Information
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NPI Number | 1548799638
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Entity Type | Organization
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Legal Business Name | RSL LIVING PENSACOLA, LLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1706 E OLIVE RD
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City | PENSACOLA
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State | FL
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Zip | 32514-7553
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Country | US
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Telephone | 850-477-4929
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 E OLIVE RD
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City | PENSACOLA
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State | FL
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Zip | 32514-7553
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Country | US
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Telephone | 850-477-4929
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DONALD SAPAUGH
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Credential |
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Telephone | 281-482-9700
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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 | 7371
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License Number State | FL
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