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General NPI Number Information
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NPI Number | 1831431345
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Entity Type | Organization
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Legal Business Name | APOPKA ASSISTED LIVING FACILITY INC
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 3 E NIGHTINGALE ST
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City | APOPKA
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State | FL
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Zip | 32712-2709
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Country | US
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Telephone | 407-464-0039
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Fax |
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Provider Business Mailing Address
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Address Line | 3 E NIGHTINGALE ST
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City | APOPKA
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State | FL
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Zip | 32712-2709
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAJ SUKHRAM
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Credential |
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Telephone | 407-464-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | AL12147
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License Number State | FL
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