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General NPI Number Information
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NPI Number | 1770740193
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Entity Type | Organization
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Legal Business Name | ALL STARS ASSISTED LIVING
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 1131 W LAKE BRANTLEY RD
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2638
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Country | US
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Telephone | 407-389-9930
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Fax | 407-389-0357
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Provider Business Mailing Address
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Address Line | 1131 W LAKE BRANTLEY RD
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2638
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Country | US
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Telephone | 407-389-9930
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Fax | 407-389-0357
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROBERT L SINGH SR.
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Credential |
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Telephone | 407-389-9930
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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 | AL9972
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License Number State | FL
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