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General NPI Number Information
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NPI Number | 1356588826
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Entity Type | Organization
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Legal Business Name | EMPIRECARE HEALTH ASSOCIATES LLC
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 3401 LEMON ST
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City | RIVERSIDE
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State | CA
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Zip | 92501-2861
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Country | US
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Telephone | 951-686-8202
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Fax | 951-784-1508
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Provider Business Mailing Address
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Address Line | 3401 LEMON ST
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City | RIVERSIDE
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State | CA
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Zip | 92501-2861
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Country | US
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Telephone | 951-686-8202
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Fax | 951-784-1508
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Authorized Official
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Title or Position | TREASURER
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Name | MS. SOON BURNAM
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Credential |
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Telephone | 949-540-1249
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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 | 336424161
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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 | CA
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