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General NPI Number Information
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NPI Number | 1750781613
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Entity Type | Organization
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Legal Business Name | CARPEN INVESTMENTS INC.
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 915 FORESTERIA DR
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City | LAKE PARK
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State | FL
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Zip | 33403-3105
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Country | US
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Telephone | 561-842-1047
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Fax | 561-842-9385
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Provider Business Mailing Address
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Address Line | 3700 N FLAGLER DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4422
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Country | US
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Telephone | 561-842-1047
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Fax | 561-842-9385
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEWSANKAR C. RENGASAWMY
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Credential |
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Telephone | 561-248-2407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | AL1150
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License Number State | FL
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