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General NPI Number Information
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NPI Number | 1851359137
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Entity Type | Organization
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Legal Business Name | KEY WEST CONVALESCENT CENTER INC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 5860 W. COLLEGE ROAD
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City | KEY WEST
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State | FL
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Zip | 33040
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Country | US
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Telephone | 305-296-2459
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Fax | 305-296-9197
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Provider Business Mailing Address
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Address Line | 5860 W. COLLEGE ROAD
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City | KEY WEST
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State | FL
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Zip | 33040
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Country | US
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Telephone | 305-296-2459
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Fax | 305-296-9197
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. ROBERT M BECHT
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Credential |
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Telephone | 615-374-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF1265096
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License Number State | FL
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