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General NPI Number Information
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NPI Number | 1881295723
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Entity Type | Organization
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Legal Business Name | RELIANCE NURSING HOME
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 500 S AUSTRALIAN AVE STE 600
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6237
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Country | US
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Telephone | 561-880-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 160 NE 18TH AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-2217
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Country | US
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Telephone | 561-880-1710
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSANA DALLIEN
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Credential |
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Telephone | 561-880-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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