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General NPI Number Information
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NPI Number | 1811101363
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Entity Type | Organization
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Legal Business Name | BAY VILLAGE OF SARASOTA INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 8400 VAMO RD
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City | SARASOTA
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State | FL
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Zip | 34231
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Country | US
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Telephone | 941-966-5611
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Fax | 941-966-4040
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Provider Business Mailing Address
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Address Line | 8400 VAMO RD
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City | SARASOTA
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State | FL
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Zip | 34231-7807
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Country | US
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Telephone | 941-966-5611
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Fax | 941-966-4040
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. ALEC WEITZEL
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Credential |
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Telephone | 941-966-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 20170096
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL9166
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF10400961
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License Number State | FL
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