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NPI 1306725601

NPI 1306725601 : ATLANTIK, INC. : VISTA, CA

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General NPI Number Information
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    NPI Number           |    1306725601
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATLANTIK, INC. 
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Dates
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    Enumeration Date     |    08/29/2025
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    461 ESTRELITA DR 
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    City                 |    VISTA
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    State                |    CA
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    Zip                  |    92084-7833
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    Country              |    US
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    Telephone            |    760-295-4587
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    Fax                  |    760-295-1331
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Provider Business Mailing Address
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    Address Line         |    461 ESTRELITA DR 
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    City                 |    VISTA
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    State                |    CA
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    Zip                  |    92084-7833
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    Country              |    US
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    Telephone            |    760-295-4587
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    Fax                  |    760-295-1331
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     JANET PALANGCHAO SCOTT 
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    Credential           |    
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    Telephone            |    760-295-4587
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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       |    
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    License Number State |    
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