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General NPI Number Information
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NPI Number | 1396832465
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Entity Type | Organization
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Legal Business Name | GARFIELD NURSING HOME, INC.
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 1451 28TH AVE
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City | OAKLAND
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State | CA
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Zip | 94601-1632
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Country | US
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Telephone | 510-261-9191
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Fax | 510-533-5630
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Provider Business Mailing Address
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Address Line | 1080 MARINA VILLAGE PKWY SUITE 100
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City | ALAMEDA
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State | CA
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Zip | 94501-6427
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Country | US
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Telephone | 510-337-7950
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Fax | 510-337-7969
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Authorized Official
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Title or Position | PROVIDER RELATIONS SUPERVISOR
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Name | LORENA LOPEZ
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Credential |
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Telephone | 510-292-7024
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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 | LTC 90070F
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License Number State | CA
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