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General NPI Number Information
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NPI Number | 1043800410
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Entity Type | Organization
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Legal Business Name | ADELAIDA S. GALASINAO
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 25070 DAISY AVENUE
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City | LOMA LINDA
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State | CA
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Zip | 92354-3459
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Country | US
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Telephone | 909-796-0882
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Fax | 909-478-9692
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Provider Business Mailing Address
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Address Line | 25070 DAISY AVENUE
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City | LOMA LINDA
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State | CA
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Zip | 92354-3459
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Country | US
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Telephone | 909-796-0882
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Fax | 909-478-9692
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Authorized Official
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Title or Position | LICENSEE
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Name | ADELAIDA GALASINAO
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Credential |
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Telephone | 909-771-8904
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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 |
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License Number State |
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