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General NPI Number Information
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NPI Number | 1407361009
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Entity Type | Organization
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Legal Business Name | ABQ POST ACUTE, LLC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1509 UNIVERSITY BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1708
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Country | US
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Telephone | 408-348-7566
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Fax |
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Provider Business Mailing Address
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Address Line | 32831 SAN JUAN CT
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City | TEMECULA
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State | CA
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Zip | 92592-7115
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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 | EXECUTIVE DIRECTOR
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Name | DANIEL FUNK
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Credential |
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Telephone | 408-348-7566
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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 |
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