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General NPI Number Information
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NPI Number | 1598403214
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Entity Type | Organization
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Legal Business Name | SWEENEY & MONROE ADULT DAY CARE CENTER
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 107 W 19TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-4647
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Country | US
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Telephone | 866-228-3107
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Fax |
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Provider Business Mailing Address
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Address Line | 7940 FRONT BEACH RD
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-4817
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Country | US
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Telephone | 866-228-3107
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MISS ARDRENE FREELAND
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Credential |
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Telephone | 866-228-3107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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