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General NPI Number Information
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NPI Number | 1063853117
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HOME FOR SENIORS
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 18836 TULSA ST
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City | NORTHRIDGE
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State | CA
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Zip | 91326-2757
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Country | US
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Telephone | 818-348-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 18836 TULSA ST.
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City | NORTHRIDGE
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State | CA
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Zip | 91326
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Country | US
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Telephone | 818-348-4400
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Fax | 818-348-4401
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Authorized Official
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Title or Position | CEO
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Name | ARTHUR MOGILEVSKI
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Credential |
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Telephone | 818-571-9841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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