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General NPI Number Information
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NPI Number | 1609712553
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Entity Type | Organization
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Legal Business Name | BLUE HORIZON RESIDENCE LLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 18408 HOLLAND HOUSE LOOP
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City | LAND O LAKES
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State | FL
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Zip | 34638-8143
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Country | US
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Telephone | 727-667-4815
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Fax |
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Provider Business Mailing Address
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Address Line | 18408 HOLLAND HOUSE LOOP
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City | LAND O LAKES
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State | FL
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Zip | 34638-8143
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Country | US
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Telephone | 727-667-4815
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | CARMEL ALAMBAN
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Credential | APRN
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Telephone | 727-667-4815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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