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General NPI Number Information
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NPI Number | 1043625031
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Entity Type | Organization
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Legal Business Name | TATY SAEL CARE HOME
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 7649 MCTAVISH CIR
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City | SACRAMENTO
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State | CA
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Zip | 95828-4337
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Country | US
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Telephone | 916-690-7243
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Fax |
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Provider Business Mailing Address
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Address Line | 7649 MCTAVISH CIR
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City | SACRAMENTO
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State | CA
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Zip | 95828-4337
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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 | LICENSEE/ADMINISTRATOR
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Name | MRS. TATY L.T. SAEL
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Credential |
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Telephone | 916-690-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 347001990
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License Number State | CA
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