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General NPI Number Information
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NPI Number | 1386998664
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Entity Type | Organization
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Legal Business Name | BAY VIEW REHABILITATION HOSPITAL LLC
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 516 WILLOW ST
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City | ALAMEDA
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State | CA
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Zip | 94501-6132
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Country | US
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Telephone | 310-266-1080
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Fax | 714-256-2003
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Provider Business Mailing Address
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Address Line | 530 N PUENTE ST
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City | BREA
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State | CA
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Zip | 92821-2804
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Country | US
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Telephone | 310-266-1080
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Fax | 714-256-2003
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Authorized Official
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Title or Position | CEO
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Name | DAVID JOHNSON
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Credential |
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Telephone | 310-266-1080
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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 |
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License Number State | CA
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