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General NPI Number Information
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NPI Number | 1235885476
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Entity Type | Organization
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Legal Business Name | CROSSPOINT RESIDENTIAL LLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 5910 LA CASTANA WAY
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City | SACRAMENTO
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State | CA
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Zip | 95823-5621
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Country | US
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Telephone | 408-373-7750
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Fax |
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Provider Business Mailing Address
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Address Line | 6921 WOODSIDE DR
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City | SACRAMENTO
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State | CA
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Zip | 95842-2228
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Country | US
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Telephone | 916-676-2631
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Fax |
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Authorized Official
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Title or Position | OWNER ADMIN
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Name | PATRICK OFOSE
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Credential |
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Telephone | 408-373-7750
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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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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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