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General NPI Number Information
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NPI Number | 1700323342
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Entity Type | Organization
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Legal Business Name | MCKENZIE FOUNDATION INC
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 12341 SW 251ST ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-5922
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Country | US
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Telephone | 305-744-1521
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Fax |
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Provider Business Mailing Address
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Address Line | 12341 SW 251ST ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-5922
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Country | US
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Telephone | 305-744-1521
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Fax |
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Authorized Official
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Title or Position | VP
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Name | MISS SANDRA PARKINSON
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Credential | RRT
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Telephone | 305-744-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | RT9695
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License Number State | FL
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