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General NPI Number Information
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NPI Number | 1043407208
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Entity Type | Organization
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Legal Business Name | DPAJARITOS, INC. DBA BIENVENUE ICFDD-N
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 879 CHEROKEE DR
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City | LIVERMORE
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State | CA
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Zip | 94551-1807
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Country | US
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Telephone | 925-449-9226
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Fax | 925-371-8754
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Provider Business Mailing Address
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Address Line | 879 CHEROKEE DR
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City | LIVERMORE
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State | CA
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Zip | 94551-1807
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Country | US
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Telephone | 925-449-9226
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Fax | 925-371-8754
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DOMINADOR DELACRUZ PAJARITO
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Credential |
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Telephone | 925-449-9226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | CA
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