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General NPI Number Information
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NPI Number | 1306217948
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Entity Type | Organization
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Legal Business Name | CRI ENTERPRISES, INC.
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 3140 E VISTA CHINO
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5475
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Country | US
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Telephone | 760-799-5424
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Fax |
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Provider Business Mailing Address
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Address Line | 3140 E VISTA CHINO
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5475
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Country | US
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Telephone | 760-799-5424
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GEORGE CAMUA
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Credential | LVN
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Telephone | 760-799-5424
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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 | 336411237
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 336424160
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 336413251
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License Number State | CA
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