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General NPI Number Information
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NPI Number | 1760297469
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Entity Type | Organization
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Legal Business Name | SSBP MANAGEMENT LLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1970 FARRINGTON DR
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-5532
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Country | US
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Telephone | 321-594-0924
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Fax |
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Provider Business Mailing Address
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Address Line | 763 MUSGRASS CIR
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City | MELBOURNE
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State | FL
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Zip | 32904-8180
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | SATYAM SHARMA
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Credential |
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Telephone | 801-688-1680
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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 |
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License Number State |
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