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General NPI Number Information
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NPI Number | 1255771374
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Entity Type | Organization
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Legal Business Name | HARBOR VIEW CHATEAU
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 2360 ALBATROSS ST
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City | SAN DIEGO
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State | CA
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Zip | 92101-1402
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Country | US
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Telephone | 619-233-8382
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Fax | 619-233-5210
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Provider Business Mailing Address
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Address Line | 2360 ALBATROSS ST
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City | SAN DIEGO
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State | CA
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Zip | 92101-1402
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Country | US
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Telephone | 619-233-8382
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Fax | 619-233-5210
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | MS. PAMELA SANDERSON
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Credential |
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Telephone | 619-233-8382
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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 | 307804407
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License Number State | CA
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