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General NPI Number Information
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NPI Number | 1053392639
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Entity Type | Organization
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Legal Business Name | GERI-CARE INC.
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 21521 S VERMONT AVE
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City | TORRANCE
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State | CA
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Zip | 90502-1939
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Country | US
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Telephone | 310-320-0961
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Fax | 310-533-4999
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Provider Business Mailing Address
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Address Line | 21521 S VERMONT AVE
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City | TORRANCE
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State | CA
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Zip | 90502-1939
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Country | US
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Telephone | 310-320-0961
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Fax | 310-533-4999
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ANGELICA VILLANUEVA DOMINGO
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Credential |
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Telephone | 310-320-0961
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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 | 910000031
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License Number State | CA
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