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General NPI Number Information
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NPI Number | 1407513427
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Entity Type | Organization
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Legal Business Name | KNOTT'S LANDING LUXURY CARE
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 6359 ARNOLD WAY
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City | BUENA PARK
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State | CA
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Zip | 90620-1503
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Country | US
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Telephone | 949-290-1826
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Fax |
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Provider Business Mailing Address
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Address Line | 6359 ARNOLD WAY
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City | BUENA PARK
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State | CA
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Zip | 90620-1503
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Country | US
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Telephone | 949-290-1826
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FAISAL RAJPOOT
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Credential |
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Telephone | 949-290-1826
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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 |
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License Number State |
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