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General NPI Number Information
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NPI Number | 1679752000
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Entity Type | Organization
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Legal Business Name | HAMPTON SENIOR MANAGMENT INC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 5762 SW 60TH AVE
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City | OCALA
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State | FL
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Zip | 34474-5677
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Country | US
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Telephone | 352-237-4544
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Fax | 352-237-4442
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Provider Business Mailing Address
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Address Line | PO BOX 771019
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City | OCALA
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State | FL
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Zip | 34477-1019
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Country | US
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Telephone | 352-387-1830
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Fax | 352-873-0237
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PEDER LEONARD JOHNSEN
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Credential |
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Telephone | 352-387-1830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 9076
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License Number State | FL
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