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General NPI Number Information
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NPI Number | 1366816142
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Entity Type | Organization
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Legal Business Name | S.M. HEALTHCARE, INC.
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 1423 S MANHATTAN PL
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City | LOS ANGELES
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State | CA
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Zip | 90019-4705
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Country | US
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Telephone | 323-373-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 1423 S MANHATTAN PL
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City | LOS ANGELES
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State | CA
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Zip | 90019-4705
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Country | US
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Telephone | 323-373-1980
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. EURRI CHOI
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Credential |
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Telephone | 562-716-6444
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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 | 197606175
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License Number State | CA
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