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General NPI Number Information
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NPI Number | 1215836739
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Entity Type | Organization
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Legal Business Name | HG SEDGEBROOK LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 960 AUDUBON WAY
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3886
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Country | US
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Telephone | 847-901-3319
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 HUNTINGTON DR
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City | DUARTE
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State | CA
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Zip | 91010-2694
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Country | US
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Telephone | 818-247-0420
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ANDREW MCDONALD
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Credential |
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Telephone | 925-924-7196
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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 |
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License Number State |
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