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General NPI Number Information
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NPI Number | 1922540160
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Entity Type | Organization
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Legal Business Name | DAYSPRING SENIOR LIVING LLC
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 553600 US HIGHWAY 1
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City | HILLIARD
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State | FL
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Zip | 32046-8280
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Country | US
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Telephone | 904-845-2362
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | HILLIARD
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State | FL
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Zip | 32046-1080
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Country | US
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Telephone | 904-845-2362
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Fax | 904-845-2190
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DOUGLAS ADKINS
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Credential |
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Telephone | 904-845-7501
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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 | AL12925
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License Number State | FL
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