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General NPI Number Information
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NPI Number | 1821966763
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Entity Type | Organization
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Legal Business Name | WCP CORAL REEF OP LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 15005 SW 97TH AVE BLDG A-B
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City | MIAMI
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State | FL
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Zip | 33176-7817
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Country | US
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Telephone | 786-823-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 MARYLAND WAY STE 320
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City | BRENTWOOD
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State | TN
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Zip | 37027-4976
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Country | US
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Telephone | 615-538-3200
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CHRISTOPHER GUAY
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Credential |
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Telephone | 615-538-3200
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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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