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General NPI Number Information
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NPI Number | 1629247002
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Entity Type | Organization
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Legal Business Name | SAINT CYRIL INC
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 1320 SW 26TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-2346
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Country | US
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Telephone | 954-524-7233
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Fax | 954-524-8715
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Provider Business Mailing Address
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Address Line | 1320 SW 26TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-2346
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Country | US
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Telephone | 954-524-7233
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Fax | 954-524-8715
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID HELMY GUIRGUIS
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Credential |
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Telephone | 954-647-8859
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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 | AL9568
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License Number State | FL
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