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General NPI Number Information
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NPI Number | 1619603073
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Entity Type | Organization
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Legal Business Name | UNIQUE ASSISTED LIVING
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 8501 NW 38TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2905
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Country | US
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Telephone | 954-575-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 8501 NW 38TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2905
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Country | US
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Telephone | 954-575-8585
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DAILYN LAZO
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Credential | RN
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Telephone | 616-514-7890
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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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