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General NPI Number Information
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NPI Number | 1457029779
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Entity Type | Organization
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Legal Business Name | POSADA SL
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 8120 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90602-3101
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Country | US
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Telephone | 310-435-0797
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Fax |
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Provider Business Mailing Address
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Address Line | 8306 WILSHIRE BLVD # 135
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2304
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RODDY RADNIA
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Credential |
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Telephone | 310-435-0797
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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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