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General NPI Number Information
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NPI Number | 1598147530
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Entity Type | Organization
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Legal Business Name | FEDERATION CCRC OPERATIONS CORP.
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 21044 95TH AVE S
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City | BOCA RATON
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State | FL
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Zip | 33428-1500
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Country | US
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Telephone | 561-609-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 21044 95TH AVE S
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City | BOCA RATON
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State | FL
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Zip | 33428-1500
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Country | US
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Telephone | 561-338-9595
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. MELVIN LOWELL
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Credential |
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Telephone | 561-852-3140
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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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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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