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General NPI Number Information
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NPI Number | 1033595939
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Entity Type | Organization
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Legal Business Name | SAPPHIRE ESCONDIDO ESTATES
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 09/12/2015
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Provider Practice Location Address
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Address Line | 262 SILVERCREEK GLN
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City | ESCONDIDO
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State | CA
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Zip | 92029-6806
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Country | US
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Telephone | 714-322-1910
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Fax | 866-602-7153
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Provider Business Mailing Address
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Address Line | 262 SILVERCREEK GLN
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City | ESCONDIDO
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State | CA
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Zip | 92029-6806
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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 | CEO
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Name | ALI NAGHIBI
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Credential |
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Telephone | 714-322-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 374603671
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License Number State | CA
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