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General NPI Number Information
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NPI Number | 1447779343
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Entity Type | Organization
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Legal Business Name | DORTEN ENTERPRISES
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 09/12/2017
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Provider Practice Location Address
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Address Line | 26933 CORNELL ST
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City | HEMET
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State | CA
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Zip | 92544-7458
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Country | US
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Telephone | 951-658-1068
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Fax |
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Provider Business Mailing Address
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Address Line | 4221 WILSHIRE BLVD STE 482
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City | LOS ANGELES
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State | CA
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Zip | 90010-3504
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Country | US
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Telephone | 323-896-9400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. YOEL HALPERN
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Credential |
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Telephone | 516-578-5530
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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 | 331800224
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 331800225
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 331800223
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License Number State | CA
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