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General NPI Number Information
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NPI Number | 1578274692
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Entity Type | Organization
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Legal Business Name | OAKLAND PARK ALF LLC
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 460 NW 40TH CT
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City | OAKLAND PARK
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State | FL
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Zip | 33309-5138
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Country | US
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Telephone | 305-814-9088
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Fax |
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Provider Business Mailing Address
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Address Line | 5308 13TH AVE STE 266
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City | BROOKLYN
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State | NY
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Zip | 11219-5198
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Country | US
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Telephone | 718-541-3091
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHESKY S KRAUS
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Credential |
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Telephone | 718-541-3091
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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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