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General NPI Number Information
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NPI Number | 1942552286
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Entity Type | Organization
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Legal Business Name | BEEVA PLACE ASSISTED LIVING FACILITY
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 137 SANTIAGO ST
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1228
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Country | US
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Telephone | 561-791-6268
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Fax | 561-791-6268
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Provider Business Mailing Address
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Address Line | 137 SANTIAGO ST
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1228
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Country | US
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Telephone | 561-791-6268
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Fax | 561-791-6268
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BERNEVA ELIZABETH NEBAR
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Credential |
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Telephone | 561-791-6268
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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 | 12193
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License Number State | FL
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