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General NPI Number Information
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NPI Number | 1407263544
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Entity Type | Organization
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Legal Business Name | ALMARIE GUEST HOME LLC
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 1525 SUGARLEAF RIDGE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93311-5115
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Country | US
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Telephone | 661-873-5992
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Fax | 661-665-0730
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Provider Business Mailing Address
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Address Line | 1525 SUGARLEAF RIDGE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93311-5115
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Country | US
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Telephone | 661-873-5992
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Fax | 661-665-0730
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ALICIA R MATANGUIHAN
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Credential |
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Telephone | 661-873-5992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 155801252
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License Number State | CA
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