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General NPI Number Information
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NPI Number | 1558661199
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Entity Type | Organization
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Legal Business Name | BERNADETTE ACLF, INC
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 520 NW 2ND AVE
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-3306
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Country | US
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Telephone | 954-454-0826
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Fax | 954-454-5143
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Provider Business Mailing Address
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Address Line | 520 NW 2ND AVE
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-3306
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Country | US
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Telephone | 954-454-0826
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Fax | 954-454-5143
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS CLAUDIA VICTOR
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Credential | RN
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Telephone | 954-454-0826
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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 | 000000
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License Number State | FL
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