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General NPI Number Information
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NPI Number | 1326078650
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Entity Type | Organization
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Legal Business Name | SEQUOIA LIVING INC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 501 VIA CASITAS
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City | GREENBRAE
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State | CA
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Zip | 94904-1958
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Country | US
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Telephone | 415-461-2300
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Fax | 415-461-0241
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Provider Business Mailing Address
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Address Line | 1525 POST ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6567
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Country | US
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Telephone | 415-202-7800
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Fax | 415-922-2338
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Authorized Official
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Title or Position | CFO
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Name | MS. MI NAN BOYD
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Credential |
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Telephone | 415-202-7814
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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 | 010000376
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License Number State | CA
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