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General NPI Number Information
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NPI Number | 1457966822
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Entity Type | Organization
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Legal Business Name | INVINCIBLE VILLAS, INC.
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Dates
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Enumeration Date | 09/12/2020
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Last Update Date | 09/12/2020
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Provider Practice Location Address
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Address Line | 27539 GLASSER AVE
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-2039
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Country | US
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Telephone | 818-602-6123
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Fax |
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Provider Business Mailing Address
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Address Line | 27539 GLASSER AVE
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-2039
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Country | US
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Telephone | 818-602-6123
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DENNIS RICH SENYONJO
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Credential |
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Telephone | 818-602-6123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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