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General NPI Number Information
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NPI Number | 1205633922
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Entity Type | Organization
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Legal Business Name | SONGBIRD CARE HOMES LLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 966 CARMELO ST
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City | MONTEREY
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State | CA
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Zip | 93940-4504
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Country | US
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Telephone | 831-375-0665
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Fax | 831-375-1624
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Provider Business Mailing Address
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Address Line | 15961 TORO HILLS AVE
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City | SALINAS
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State | CA
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Zip | 93908-1140
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Country | US
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Telephone | 831-375-0665
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Fax | 831-375-1624
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MATTHEW B MAZERIK
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Credential | MA
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Telephone | 408-409-0589
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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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