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General NPI Number Information
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NPI Number | 1548860067
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Entity Type | Organization
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Legal Business Name | ZENITH CARE INC
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 1513 BAFFIN BAY DR
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City | PLANO
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State | TX
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Zip | 75075-2203
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Country | US
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Telephone | 469-268-2319
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Fax | 469-209-0073
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Provider Business Mailing Address
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Address Line | 1513 BAFFIN BAY DR
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City | PLANO
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State | TX
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Zip | 75075-2203
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Country | US
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Telephone | 469-268-2319
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Fax | 469-209-0073
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Authorized Official
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Title or Position | OWNER
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Name | AWEWALE FAYEMI
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Credential | RN
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Telephone | 469-268-2319
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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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