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General NPI Number Information
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NPI Number | 1457649436
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Entity Type | Organization
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Legal Business Name | DRIFTWOOD SANTA CRUZ OPERATING COMPANY, LP
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 675 24TH AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-4205
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Country | US
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Telephone | 831-475-6323
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Fax | 831-475-6814
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Provider Business Mailing Address
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Address Line | 675 24TH AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-4205
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Country | US
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Telephone | 831-475-6323
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Fax | 831-475-6814
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Authorized Official
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Title or Position | REGIONAL FINANCIAL ANALYST
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Name | MRS. ANDREA SAAVEDRA
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Credential |
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Telephone | 707-208-1940
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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 | 070000033
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License Number State | CA
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