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General NPI Number Information
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NPI Number | 1912285511
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Entity Type | Organization
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Legal Business Name | H.FLORIDIAN CORPORATION
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Dates
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Enumeration Date | 07/30/2011
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Last Update Date | 07/30/2011
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Provider Practice Location Address
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Address Line | 1831 PLUNKETT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6347
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Country | US
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Telephone | 954-925-8604
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Fax | 954-922-5579
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Provider Business Mailing Address
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Address Line | 1831 PLUNKETT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6347
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Country | US
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Telephone | 954-925-8604
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Fax | 954-922-5579
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RICKI KANETI
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Credential |
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Telephone | 954-600-6333
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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 | AL-9347
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License Number State | FL
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