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General NPI Number Information
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NPI Number | 1649565714
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Entity Type | Organization
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Legal Business Name | LINDO'S HOUSE OF CARE INC
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 6821 SW 8TH CT
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2516
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Country | US
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Telephone | 954-970-9915
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Fax |
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Provider Business Mailing Address
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Address Line | 6821 SW 8TH CT
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2516
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Country | US
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Telephone | 954-970-9915
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MAE ADAMS
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Credential | NURSE
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Telephone | 954-584-2124
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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 | AL11966
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License Number State | FL
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