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General NPI Number Information
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NPI Number | 1699143354
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Entity Type | Organization
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Legal Business Name | WHISPERING WILLOWS, ALF
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 3005 BELL SHOALS RD
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City | BRANDON
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State | FL
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Zip | 33511-7613
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Country | US
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Telephone | 813-381-3172
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Fax |
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Provider Business Mailing Address
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Address Line | 2241 VILLAGE HILL DR
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City | VALRICO
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State | FL
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Zip | 33594-3161
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Country | US
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Telephone | 813-381-3172
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNNETTE E ROMERO
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Credential |
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Telephone | 813-381-3172
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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 | AL-11841
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License Number State | FL
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