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General NPI Number Information
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NPI Number | 1093042947
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Entity Type | Organization
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Legal Business Name | VILLA BLANCA II, LLC
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 570 RONDA DR
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City | SANTA BARBARA
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State | CA
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Zip | 93111-1522
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Country | US
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Telephone | 805-681-0405
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Fax |
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Provider Business Mailing Address
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Address Line | 570 RONDA DR
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City | SANTA BARBARA
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State | CA
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Zip | 93111-1522
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Country | US
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Telephone | 805-681-0405
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. NONNA ROZHKO
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Credential |
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Telephone | 805-681-0405
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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 | 4258001670
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License Number State | CA
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