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General NPI Number Information
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NPI Number | 1851380331
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Entity Type | Organization
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Legal Business Name | SIERRA LIFECARE, INC.
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 7200 W COMMERCIAL BLVD STE 206&207
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City | LAUDERHILL
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State | FL
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Zip | 33319-2148
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Country | US
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Telephone | 954-741-8160
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Fax | 954-741-9109
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Provider Business Mailing Address
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Address Line | 7200 W COMMERCIAL BLVD STE 206&207
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City | LAUDERHILL
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State | FL
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Zip | 33319-2148
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Country | US
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Telephone | 954-741-8160
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Fax | 954-741-9109
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHAD RABONE
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Credential |
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Telephone | 954-741-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA21863096
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License Number State | FL
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