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General NPI Number Information
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NPI Number | 1831646751
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Entity Type | Organization
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Legal Business Name | SENIOR CARE ALF INC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 2313 W ABDELLA ST
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City | TAMPA
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State | FL
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Zip | 33607-1603
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Country | US
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Telephone | 813-302-9534
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Fax |
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Provider Business Mailing Address
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Address Line | 2313 W ABDELLA ST
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City | TAMPA
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State | FL
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Zip | 33607-1603
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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 | ADMINISTRATOR
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Name | ANGEL ORESTE FEITO
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Credential |
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Telephone | 813-302-9534
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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 | ALF12821
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License Number State | FL
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