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General NPI Number Information
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NPI Number | 1265934632
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Entity Type | Organization
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Legal Business Name | DANUBE RIVER HOLDINGS LLC
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 6041 FAIR OAKS BLVD
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City | CARMICHAEL
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State | CA
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Zip | 95608-4816
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Country | US
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Telephone | 916-483-8103
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Fax |
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Provider Business Mailing Address
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Address Line | 16885 W BERNARDO DR STE 216
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City | SAN DIEGO
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State | CA
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Zip | 92127-1620
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Country | US
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Telephone | 858-798-5700
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Fax |
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Authorized Official
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Title or Position | CO-CEO
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Name | TOBY TILFORD
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Credential |
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Telephone | 858-774-8342
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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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