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General NPI Number Information
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NPI Number | 1811205669
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Entity Type | Organization
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Legal Business Name | BINDA ASSISTED LIVING L.L.C.
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 5544 NW 196 DRIVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076
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Country | US
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Telephone | 954-341-3082
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Fax | 954-356-4192
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Provider Business Mailing Address
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Address Line | 5544 NW 196 DRIVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076
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Country | US
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Telephone | 954-341-3082
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Fax | 954-356-4192
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | LUKULA MBUKU BINDA
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Credential |
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Telephone | 954-341-3082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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