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General NPI Number Information
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NPI Number | 1942720982
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Entity Type | Organization
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Legal Business Name | CADIZ SENIOR CARE
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1970 FARRINGTON DRIVE
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City | MERRITT ISLAND
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State | FL
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Zip | 32952
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Country | US
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Telephone | 321-208-7955
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Fax | 321-208-7956
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Provider Business Mailing Address
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Address Line | 1970 FARRINGTON DR
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-5532
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Country | US
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Telephone | 321-208-7955
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Fax | 321-208-7956
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. HEATHER LEIGH CADIZ
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Credential |
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Telephone | 321-506-7181
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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 | AL11613
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License Number State | FL
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