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General NPI Number Information
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NPI Number | 1609213651
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Entity Type | Organization
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Legal Business Name | GENTLE CARE ASSISTED LIVING, INC.
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 66 BLARE CASTLE DR
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City | PALM COAST
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State | FL
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Zip | 32137-7309
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Country | US
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Telephone | 386-569-1399
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Fax | 386-447-7730
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Provider Business Mailing Address
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Address Line | 75 BRUNSWICK LN
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City | PALM COAST
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State | FL
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Zip | 32137-3627
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Country | US
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Telephone | 386-569-1399
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Fax | 386-447-7730
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Authorized Official
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Title or Position | OWNER
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Name | MRS. EMMA PRONESTI
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Credential |
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Telephone | 386-569-1399
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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 | AL11197
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL12174
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL10635
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License Number State | FL
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