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General NPI Number Information
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NPI Number | 1073114807
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Entity Type | Organization
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Legal Business Name | THE HEALING SANCTUM-GREENMEADOW, LLC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 5302 E GREENMEADOW RD
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City | LONG BEACH
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State | CA
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Zip | 90808-1620
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Country | US
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Telephone | 562-452-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 5302 E GREENMEADOW RD
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City | LONG BEACH
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State | CA
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Zip | 90808-1620
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Country | US
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Telephone | 562-452-7893
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Fax |
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Authorized Official
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Title or Position | OWNER / FACILITY MEDICAL DIRECTOR
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Name | MINH NGUYEN
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Credential | MD
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Telephone | 562-212-1272
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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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