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General NPI Number Information
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NPI Number | 1134493463
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Entity Type | Organization
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Legal Business Name | CENTINELA HOSPITAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 120 SOUTH RENO ST UNIT 347
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City | LOS ANGELES
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State | CA
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Zip | 90057
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Country | US
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Telephone | 213-249-6884
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Fax |
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Provider Business Mailing Address
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Address Line | 120 S RENO ST APT 347
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City | LOS ANGELES
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State | CA
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Zip | 90057-5500
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Country | US
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Telephone | 213-249-6884
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Fax |
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Authorized Official
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Title or Position | CHARGE NURSE
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Name | MRS. MARIA ALANIS
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Credential | RN
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Telephone | 310-419-8685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 773088
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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 | 773088
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License Number State | CA
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