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General NPI Number Information
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NPI Number | 1750694543
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Entity Type | Organization
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Legal Business Name | NDM PARTNERS LLC
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 500 NW DIXIE HWY SUITE 104
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City | STUART
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State | FL
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Zip | 34994
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Country | US
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Telephone | 772-287-5432
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Fax | 772-497-7012
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Provider Business Mailing Address
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Address Line | 500 N DIXIE HWY STE 104
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City | STUART
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State | FL
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Zip | 34994-1186
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Country | US
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Telephone | 772-287-5432
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Fax | 772-497-7012
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. DANIEL BENTANCUR
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Credential |
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Telephone | 772-287-5432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | NR30211392
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NR30211392
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License Number State | FL
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