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General NPI Number Information
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NPI Number | 1952919557
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Entity Type | Organization
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Legal Business Name | THE VINGLO HOUSE LLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 1862 FINN HILL DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-9329
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Country | US
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Telephone | 561-530-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 1862 FINN HILL DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-9329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NEKEISHA S MORRISON
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Credential |
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Telephone | 954-727-6921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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