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General NPI Number Information
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NPI Number | 1598417263
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Entity Type | Organization
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Legal Business Name | BANYAN BOCA FL MANAGEMENT LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 2950 NW 5TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33431-8226
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Country | US
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Telephone | 561-571-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 7077 AV DU PARC
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City | MONTREAL
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State | QUEBEC
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Zip | H3N1X7
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Country | CA
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Telephone |
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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. AARON FRIEDMAN
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Credential |
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Telephone | 514-777-3539
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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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