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General NPI Number Information
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NPI Number | 1457457574
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Entity Type | Organization
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Legal Business Name | TULARE NURSING & REHABILITATION HOSPITAL, INC.
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 420 E MURRAY AVE
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City | VISALIA
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State | CA
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Zip | 93291-5053
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Country | US
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Telephone | 559-625-4003
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Fax | 559-625-4113
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Provider Business Mailing Address
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Address Line | 680 E MERRITT AVE
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City | TULARE
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State | CA
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Zip | 93274-2135
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Country | US
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Telephone | 559-686-8581
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Fax | 559-686-5393
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK ALLAN FISHER
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Credential |
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Telephone | 559-625-4003
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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 | 120000561
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License Number State | CA
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