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General NPI Number Information
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NPI Number | 1669739835
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Entity Type | Organization
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Legal Business Name | ADKINSON ASSISTED LIVING FACILITIES, LLC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 284 CYPRESS TRCE
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-8523
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Country | US
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Telephone | 727-510-7521
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Fax | 727-344-1839
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Provider Business Mailing Address
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Address Line | 6021 1ST AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-8512
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Country | US
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Telephone | 727-344-1839
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Fax | 727-344-1839
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MARIA GLORIA ADKINSON
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Credential | MSW
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Telephone | 727-344-1839
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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 | AL10013
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License Number State | FL
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