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General NPI Number Information
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NPI Number | 1851847834
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Entity Type | Organization
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Legal Business Name | SENIOR LIVING MEMORY HEALTH, INC.
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 16853 NE 2ND AVE STE 304
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1776
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Country | US
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Telephone | 786-414-6666
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Fax | 786-221-3542
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Provider Business Mailing Address
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Address Line | 16853 NE 2ND AVE STE 304
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1776
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Country | US
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Telephone | 786-414-6666
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Fax | 786-221-3542
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH BICKNELL
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Credential |
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Telephone | 954-408-5411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY5534
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License Number State | FL
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