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General NPI Number Information
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NPI Number | 1710294020
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Entity Type | Organization
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Legal Business Name | WEST BROWARD ACQUISITION I, LLC.
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 7751 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-2003
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Country | US
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Telephone | 954-473-8040
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Fax | 954-473-0897
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Provider Business Mailing Address
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Address Line | 7751 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-2003
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Country | US
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Telephone | 954-473-8040
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Fax | 954-473-0897
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Authorized Official
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Title or Position | PARTNER
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Name | MR. LIZER JOZEFOVIC
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Credential |
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Telephone | 845-222-1018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF1028096
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License Number State | FL
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