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General NPI Number Information
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NPI Number | 1447329636
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Entity Type | Organization
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Legal Business Name | DUNLAP SANITARIUM
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 6011 WEST BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90043-3801
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Country | US
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Telephone | 323-292-0748
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Fax |
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Provider Business Mailing Address
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Address Line | 6011 WEST BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90043-3801
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Country | US
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Telephone | 323-292-0748
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Fax |
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Authorized Official
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Title or Position | BOM
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Name | MS. SONA BHATIA
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Credential |
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Telephone | 323-292-0748
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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 | 190990250
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License Number State | CA
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