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General NPI Number Information
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NPI Number | 1265518872
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Entity Type | Organization
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Legal Business Name | FRONT PORCH COMMUNITIES AND SERVICES
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 2855 CARLSBAD BLVD
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City | CARLSBAD
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State | CA
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Zip | 92008-2902
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Country | US
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Telephone | 760-720-4580
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Fax | 760-729-0938
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Provider Business Mailing Address
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Address Line | 2855 CARLSBAD BLVD
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City | CARLSBAD
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State | CA
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Zip | 92008-2902
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Country | US
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Telephone | 760-720-4580
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Fax | 760-729-0938
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Authorized Official
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Title or Position | SR. DIRECTOR RISK MANAGEMENT
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Name | GRANT EDELSTONE
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Credential |
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Telephone | 925-956-7360
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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 | 080000116
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License Number State | CA
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