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General NPI Number Information
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NPI Number | 1740625359
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Entity Type | Organization
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Legal Business Name | SPRING HILL ASSISTED LIVING FACILITY, INC.
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 8239 CESSNA DR
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City | SPRING HILL
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State | FL
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Zip | 34606-3024
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Country | US
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Telephone | 352-484-0304
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Fax | 813-425-6925
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Provider Business Mailing Address
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Address Line | PO BOX 280155
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City | TAMPA
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State | FL
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Zip | 33682-0155
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Country | US
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Telephone | 352-484-0304
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Fax | 813-425-6925
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSEPH WILFRED JOSEPH
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Credential |
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Telephone | 352-484-0304
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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 12359
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License Number State | FL
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