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General NPI Number Information
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NPI Number | 1558693929
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Entity Type | Organization
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Legal Business Name | LUBRIN LOVING CARE, INC.
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 6564 SW 20TH CT
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City | PLANTATION
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State | FL
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Zip | 33317-5147
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Country | US
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Telephone | 954-587-4181
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Fax | 954-587-4181
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Provider Business Mailing Address
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Address Line | 6564 SW 20TH CT
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City | PLANTATION
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State | FL
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Zip | 33317-5147
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Country | US
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Telephone | 954-587-4181
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Fax | 954-587-4181
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Authorized Official
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Title or Position | OWENER/OPERATOR
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Name | MAELLE LUBRIN
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Credential |
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Telephone | 954-709-7136
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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 | AL11618
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License Number State | FL
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