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General NPI Number Information
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NPI Number | 1982319026
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Entity Type | Organization
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Legal Business Name | BKW - GREENACRES ASSET MANAGEMENT COMPANY
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 3400 S JOG RD
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City | GREENACRES
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State | FL
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Zip | 33467-2080
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Country | US
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Telephone | 561-432-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 E KENNEDY BLVD UNIT 225
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City | TAMPA
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State | FL
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Zip | 33602-3578
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Country | US
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Telephone | 813-221-3344
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL DEMARCAY
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Credential |
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Telephone | 813-221-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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