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General NPI Number Information
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NPI Number | 1275539454
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Entity Type | Organization
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Legal Business Name | MEK ARDEN, LLC
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 3400 ALTA ARDEN EXPY
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City | SACRAMENTO
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State | CA
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Zip | 95825-2103
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Country | US
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Telephone | 916-481-5500
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Fax | 916-481-9845
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Provider Business Mailing Address
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Address Line | 1506 S. GLENDALE AVENUE
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City | GLENDALE
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State | CA
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Zip | 91205
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Country | US
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Telephone | 818-247-6200
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Fax | 818-247-6213
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Authorized Official
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Title or Position | FINANCIAL CONTROLLER
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Name | MR. FERNAN PEDRAJA
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Credential |
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Telephone | 818-247-6200
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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 | CA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100000009
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License Number State | CA
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