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General NPI Number Information
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NPI Number | 1063877223
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Entity Type | Organization
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Legal Business Name | SINCERITY HOMES, LLC
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 2910 DE FOREST AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-1405
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Country | US
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Telephone | 510-717-7492
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Fax | 510-724-1023
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Provider Business Mailing Address
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Address Line | 4175 LAKESIDE DR SUITE 130
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City | RICHMOND
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State | CA
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Zip | 94806-5774
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Country | US
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Telephone | 510-717-7492
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Fax | 510-724-1023
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DIGNA B ESPEJO
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Credential |
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Telephone | 510-717-7492
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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 |
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License Number State |
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