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General NPI Number Information
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NPI Number | 1447710785
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Entity Type | Organization
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Legal Business Name | CC-PALO ALTO, INC.
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 620 SAND HILL RD
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City | PALO ALTO
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State | CA
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Zip | 94304-2002
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Country | US
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Telephone | 650-853-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 233 S WACKER DR STE 8400
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City | CHICAGO
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State | IL
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Zip | 60606-6316
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Country | US
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Telephone | 312-803-8800
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Fax |
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Authorized Official
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Title or Position | COUNSEL
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Name | TOMEK J KOSZYLKO
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Credential |
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Telephone | 312-803-8443
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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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