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General NPI Number Information
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NPI Number | 1902897754
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Entity Type | Organization
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Legal Business Name | THE GLENRIDGE ON PALMER RANCH, INC.
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7390 SCOTLAND WAY
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City | SARASOTA
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State | FL
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Zip | 34238-8514
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Country | US
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Telephone | 941-552-5300
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Fax | 941-552-5364
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Provider Business Mailing Address
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Address Line | 7333 SCOTLAND WAY
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City | SARASOTA
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State | FL
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Zip | 34238-8530
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Country | US
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Telephone | 941-552-5300
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Fax | 941-552-5364
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Authorized Official
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Title or Position | DIRECTOR OF ACCOUNTING SERVICES
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Name | BARBARA TABOR
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Credential |
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Telephone | 941-552-5310
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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 | AL10453
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | FL
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