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General NPI Number Information
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NPI Number | 1306089461
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Entity Type | Organization
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Legal Business Name | MOUNT ZION HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 04/19/2009
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 13975 LIGHT ST
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City | WHITTIER
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State | CA
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Zip | 90605-3162
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Country | US
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Telephone | 562-696-1381
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Fax | 562-945-6463
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Provider Business Mailing Address
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Address Line | 13975 LIGHT ST
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City | WHITTIER
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State | CA
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Zip | 90605-3162
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Country | US
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Telephone | 562-618-3613
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Fax | 562-945-6463
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MISS CATHY Y YOUNG
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Credential | R.N
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Telephone | 562-618-3613
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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 | 197606962
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License Number State | CA
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