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General NPI Number Information
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NPI Number | 1376956110
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Entity Type | Organization
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Legal Business Name | AL US H.B. SUBTENANT, LLC & SSLMI
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 7401 YORKTOWN AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2757
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Country | US
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Telephone | 714-536-3032
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Fax | 714-536-3042
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Provider Business Mailing Address
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Address Line | 7401 YORKTOWN AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2757
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Country | US
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Telephone | 714-536-3032
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Fax | 714-536-3042
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CATHERINE RATELLE
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Credential |
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Telephone | 714-536-3032
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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 | 203A
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License Number State | CA
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