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General NPI Number Information
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NPI Number | 1992250633
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Entity Type | Organization
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Legal Business Name | RESIDENT CARE PRIME CONSULTANTS, LLC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 1801 51ST ST W
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City | BRADENTON
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State | FL
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Zip | 34209-5031
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Country | US
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Telephone | 941-761-0458
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Fax |
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Provider Business Mailing Address
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Address Line | 9011 41ST ST E
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City | PARRISH
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State | FL
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Zip | 34219-2221
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Country | US
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Telephone | 941-448-1758
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Fax |
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Authorized Official
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Title or Position | CEO/ ADMINISTRATOR
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Name | SISSY RAMOS
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Credential |
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Telephone | 941-448-1758
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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 | AL12794
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License Number State | FL
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