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General NPI Number Information
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NPI Number | 1780392886
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Entity Type | Organization
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Legal Business Name | PLEASANT HILL'S LLC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 16500 SW 107TH CT
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City | MIAMI
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State | FL
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Zip | 33157-2954
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Country | US
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Telephone | 786-250-3193
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Fax |
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Provider Business Mailing Address
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Address Line | 11004 SW 157TH TER
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City | MIAMI
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State | FL
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Zip | 33157-1263
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Country | US
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Telephone | 305-972-6297
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LILLIETH JOHNSON
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Credential |
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Telephone | 305-972-6297
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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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