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General NPI Number Information
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NPI Number | 1689935025
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Entity Type | Organization
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Legal Business Name | D & D SPECIAL CARE
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Dates
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Enumeration Date | 06/01/2012
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 5760 NW 40TH TER
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4055
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Country | US
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Telephone | 954-675-3395
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Fax |
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Provider Business Mailing Address
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Address Line | 5760 NW 40TH TER
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4055
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Country | US
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Telephone | 954-675-3395
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DAPHNE BROWN
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Credential |
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Telephone | 954-675-3395
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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 | 11866
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License Number State | FL
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