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General NPI Number Information
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NPI Number | 1821406950
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Entity Type | Organization
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Legal Business Name | FRAN'S ELDERLY CARE INC
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 1309 ALCORN RD
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City | PORT ORANGE
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State | FL
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Zip | 32129-5242
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Country | US
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Telephone | 386-760-3685
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Fax |
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Provider Business Mailing Address
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Address Line | 5940 BOGGS FORD RD
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City | PORT ORANGE
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State | FL
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Zip | 32127-5880
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Country | US
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Telephone | 386-788-6164
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DOMINICK MILANO
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Credential | MBA
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Telephone | 386-788-6164
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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 | 9589
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License Number State | FL
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