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General NPI Number Information
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NPI Number | 1346039179
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Entity Type | Organization
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Legal Business Name | HPA 1826 LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 107 W LEMON AVE
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City | MONROVIA
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State | CA
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Zip | 91016-2809
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Country | US
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Telephone | 310-625-2838
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Fax | 323-320-4355
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Provider Business Mailing Address
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Address Line | 107 W LEMON AVE
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City | MONROVIA
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State | CA
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Zip | 91016-2809
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Country | US
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Telephone | 310-625-2838
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Fax | 323-320-4355
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CHERYL ANN PETTERSON
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Credential |
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Telephone | 310-625-2838
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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 |
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