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General NPI Number Information
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NPI Number | 1609121458
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Entity Type | Organization
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Legal Business Name | WHITE FLOWERS ALF
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 801 ARDENLEIGH DR
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City | ORLANDO
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State | FL
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Zip | 32828-8655
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Country | US
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Telephone | 407-207-7165
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Fax | 407-207-3431
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Provider Business Mailing Address
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Address Line | 801 ARDENLEIGH DR
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City | ORLANDO
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State | FL
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Zip | 32828-8655
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Country | US
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Telephone | 407-207-7165
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Fax | 407-207-3431
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Authorized Official
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Title or Position | OWNER/ADMINSTRATOR
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Name | MS. BLANCA FLORES
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Credential |
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Telephone | 407-207-7165
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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 | AL11036
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License Number State | FL
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