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NPI 1619632171

NPI 1619632171 : HAWTHORNE OCALA OPERATIONS LLC : OCALA, FL

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General NPI Number Information
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    NPI Number           |    1619632171
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAWTHORNE OCALA OPERATIONS LLC 
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Dates
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    Enumeration Date     |    11/01/2021
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    3211 SW 42ND ST 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34471-9502
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    Country              |    US
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    Telephone            |    352-237-7773
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4100 SW 33RD AVE 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34474-4466
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     SOLOMON  KLEIN 
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    Credential           |    
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    Telephone            |    347-909-1811
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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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