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General NPI Number Information
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NPI Number | 1184345514
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Entity Type | Organization
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Legal Business Name | BURTON & CRENSHAW ASSOCIATES INC.
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 37182 SIERRA GROVE DR
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City | MURRIETA
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State | CA
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Zip | 92563-1887
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Country | US
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Telephone | 951-821-1291
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Fax |
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Provider Business Mailing Address
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Address Line | 31311 SHADOW RIDGE DR
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City | MENIFEE
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State | CA
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Zip | 92584-8212
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Country | US
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Telephone | 951-821-1291
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Fax |
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Authorized Official
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Title or Position | LICENSEE
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Name | FLORETTA CRENSHAW
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Credential |
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Telephone | 951-821-1291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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