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General NPI Number Information
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NPI Number | 1730481524
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Entity Type | Organization
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Legal Business Name | THE PLACE AT VERO BEACH, INC
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 3855 INDIAN RIVER BLVD
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City | VERO BEACH
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State | FL
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Zip | 32960-4882
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Country | US
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Telephone | 772-770-3796
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Fax |
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Provider Business Mailing Address
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Address Line | 3855 INDIAN RIVER BLVD
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City | VERO BEACH
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State | FL
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Zip | 32960-4882
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Country | US
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Telephone | 772-770-3796
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL S ANDERSON
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Credential |
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Telephone | 772-770-3796
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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 | AL8672
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License Number State | FL
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