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General NPI Number Information
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NPI Number | 1114081056
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Entity Type | Organization
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Legal Business Name | DIGNITY COMMUNITY CARE
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 1401 S GRAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90015-3010
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Country | US
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Telephone | 213-742-5910
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Fax | 213-765-4078
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Provider Business Mailing Address
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Address Line | 3215 PROSPECT PARK DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-6017
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Country | US
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Telephone | 916-861-1102
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Fax | 916-861-7707
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | REBECCA CHENG
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Credential |
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Telephone | 213-742-5898
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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 | 930000024
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 930000024
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License Number State | CA
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