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General NPI Number Information
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NPI Number | 1871863787
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Entity Type | Organization
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Legal Business Name | KAPAALI HOLDINGS LLC
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 2275 8TH ST NW SUITE #114
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City | WINTER HAVEN
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State | FL
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Zip | 33881-1331
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Country | US
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Telephone | 863-401-8211
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Fax | 863-292-9297
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Provider Business Mailing Address
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Address Line | 2275 8TH ST NW SUITE #114
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City | WINTER HAVEN
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State | FL
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Zip | 33881-1331
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Country | US
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Telephone | 863-401-8211
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Fax | 863-292-9297
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. AVINASH W DESAI
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Credential |
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Telephone | 863-401-8211
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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 | AL12108
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License Number State | FL
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