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General NPI Number Information
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NPI Number | 1427503143
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Entity Type | Organization
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Legal Business Name | EMBLEM MANAGEMENT LLC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 13817 DOMART AVE
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City | NORWALK
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State | CA
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Zip | 90650-3428
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Country | US
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Telephone | 562-484-9134
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Fax | 562-484-9134
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Provider Business Mailing Address
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Address Line | 13817 DOMART AVE
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City | NORWALK
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State | CA
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Zip | 90650-3428
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Country | US
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Telephone | 562-484-9134
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Fax | 562-484-9134
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Authorized Official
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Title or Position | LICENSEE
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Name | EMMA LU
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Credential | RN
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Telephone | 562-441-6879
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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 | 198601875
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License Number State | CA
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