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General NPI Number Information
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NPI Number | 1326146333
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Entity Type | Organization
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Legal Business Name | LAST FRONTIER HEALTHCARE DISTRICT
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 225 W MCDOWELL AVE
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City | ALTURAS
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State | CA
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Zip | 96101-3933
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Country | US
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Telephone | 530-233-3416
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Fax | 530-233-6609
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Provider Business Mailing Address
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Address Line | 228 W MCDOWELL AVE
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City | ALTURAS
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State | CA
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Zip | 96101-3934
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Country | US
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Telephone | 530-233-5131
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Fax | 530-233-6609
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Authorized Official
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Title or Position | CEO
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Name | WALT BECK
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Credential | CPA
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Telephone | 530-233-5883
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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 |
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License Number State |
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