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General NPI Number Information
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NPI Number | 1356719330
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Entity Type | Organization
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Legal Business Name | SILLANO HOME CARE LLC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 6973 SPRINGTIME AVE
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City | FONTANA
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State | CA
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Zip | 92336-1474
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Country | US
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Telephone | 213-215-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 6973 SPRINGTIME AVE
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City | FONTANA
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State | CA
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Zip | 92336-1474
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Country | US
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Telephone | 213-215-2238
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ARISTOTLE ABADA SILLANO
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Credential |
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Telephone | 213-215-2238
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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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