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General NPI Number Information
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NPI Number | 1376871640
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Entity Type | Organization
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Legal Business Name | EMERITUS CORPORATION
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 1111 ULATIS DR
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City | VACAVILLE
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State | CA
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Zip | 95687-9498
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Country | US
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Telephone | 707-447-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 ULATIS DR
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City | VACAVILLE
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State | CA
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Zip | 95687-9498
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | JOANNE LESKOWICZ
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Credential |
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Telephone | 414-918-5000
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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 | 486803099
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License Number State | CA
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