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General NPI Number Information
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NPI Number | 1093733776
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Entity Type | Organization
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Legal Business Name | PATER DIGNITAS INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 23795 WR HOLMAN HWY
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City | MONTEREY
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State | CA
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Zip | 93940-5903
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Country | US
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Telephone | 831-624-1875
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Fax | 831-624-7138
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Provider Business Mailing Address
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Address Line | 23795 WR HOLMAN HWY
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City | MONTEREY
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State | CA
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Zip | 93940-5903
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Country | US
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Telephone | 831-624-1875
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Fax | 831-624-7138
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Authorized Official
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Title or Position | PRESIDENT ADMINISTRATOR
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Name | MR. ROBERT JOSEPH BOWERSOX JR.
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Credential |
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Telephone | 831-624-1875
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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 | 070000015
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License Number State | CA
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