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General NPI Number Information
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NPI Number | 1376966861
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Entity Type | Organization
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Legal Business Name | VALE OPERATING COMPANY LP
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 13484 SAN PABLO AVE
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City | SAN PABLO
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State | CA
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Zip | 94806-3904
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Country | US
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Telephone | 510-232-5945
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Fax |
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Provider Business Mailing Address
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Address Line | 13484 SAN PABLO AVE
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City | SAN PABLO
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State | CA
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Zip | 94806-3904
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Country | US
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Telephone | 510-232-5945
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Fax |
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Authorized Official
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Title or Position | REGIONAL FINANCIAL ANALYST
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Name | MRS. ANDREA SAAVEDRA
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Credential |
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Telephone | 707-208-1940
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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 | 140000202
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License Number State | CA
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