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General NPI Number Information
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NPI Number | 1659982882
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Entity Type | Organization
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Legal Business Name | TOMLIN'S LUXURIOUS LIVING WEST INC
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 1813 SW 96TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33025-1908
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Country | US
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Telephone | 954-947-8880
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Fax | 954-947-8836
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Provider Business Mailing Address
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Address Line | 1813 SW 96TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33025-1908
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Country | US
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Telephone | 954-947-8880
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Fax | 954-947-8836
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SAFIYA SOLOMON GILBERT
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Credential |
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Telephone | 305-546-5871
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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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