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General NPI Number Information
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NPI Number | 1386244465
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Entity Type | Organization
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Legal Business Name | SILVER SCREEN SENIOR CARE LLC
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 1333 S BEVERLY GLEN BLVD APT 906
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City | LOS ANGELES
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State | CA
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Zip | 90024-5277
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Country | US
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Telephone | 888-341-2224
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15022
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-1022
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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 | CEO/ADMINISTRATOR
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Name | MR. STAN FOSTER
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Credential |
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Telephone | 888-341-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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