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General NPI Number Information
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NPI Number | 1629004262
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Entity Type | Organization
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Legal Business Name | SPRINGTREE REHABILITATION & HEALTH CARE CTR LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 4251 SPRINGTREE DR
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City | SUNRISE
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State | FL
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Zip | 33351
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Country | US
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Telephone | 954-572-4251
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Fax | 954-572-6410
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Provider Business Mailing Address
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Address Line | 4251 SPRINGTREE DR
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City | SUNRISE
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State | FL
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Zip | 33351
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Country | US
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Telephone | 954-572-4251
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Fax | 954-572-6410
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Authorized Official
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Title or Position | ADMINISTRATOR FOR SPRINGTREE REHAB
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Name | MRS. VERONICA LOGAN
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Credential | BSW
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Telephone | 954-572-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF15120961
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License Number State | FL
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