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General NPI Number Information
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NPI Number | 1437303195
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Entity Type | Organization
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Legal Business Name | LTP LANDMARKS LLC
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 21863 VALLEJO ST
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City | HAYWARD
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State | CA
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Zip | 94541-2523
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Country | US
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Telephone | 510-273-8970
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1297
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City | ALAMO
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State | CA
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Zip | 94507-7297
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Country | US
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Telephone | 925-817-0714
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Fax | 510-273-8968
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LETICIA PANIS PEREZ
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Credential | LVN
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Telephone | 925-817-0714
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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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