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General NPI Number Information
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NPI Number | 1114715570
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Entity Type | Organization
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Legal Business Name | KAMERON PLACE LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 794 MARSOPA DR
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City | VISTA
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State | CA
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Zip | 92081-6437
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Country | US
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Telephone | 727-687-9431
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Fax |
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Provider Business Mailing Address
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Address Line | 2932 LUCIA JADE LOOP
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City | SAN DIEGO
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State | CA
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Zip | 92139-3700
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Country | US
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Telephone | 727-687-9431
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. DHANA CABANTAC REMOT
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Credential | REGISTERED NURSE
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Telephone | 272-687-9431
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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 |
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License Number State |
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