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General NPI Number Information
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NPI Number | 1033437579
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Entity Type | Organization
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Legal Business Name | WINDSOR SACRAMENTO ESTATES, LLC
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 501 JESSIE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95838-2608
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Country | US
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Telephone | 916-922-8855
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Fax | 916-922-6208
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Provider Business Mailing Address
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Address Line | 9200 W SUNSET BLVD SUITE 700
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3502
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Country | US
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Telephone | 310-860-2284
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Fax | 310-595-3752
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Authorized Official
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Title or Position | VP FINANCE
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Name | ASH CHAWLA
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Credential |
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Telephone | 310-385-1078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 030000043
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License Number State | CA
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