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General NPI Number Information
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NPI Number | 1477337228
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Entity Type | Organization
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Legal Business Name | LECITA& ZHANGLLC
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 753 SMITH RD
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City | HEMET
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State | CA
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Zip | 92544-1872
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Country | US
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Telephone | 562-852-9634
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Fax | 951-282-3547
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Provider Business Mailing Address
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Address Line | 753 SMITH RD
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City | HEMET
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State | CA
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Zip | 92544-1872
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Country | US
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Telephone | 562-852-9634
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Fax | 951-282-3547
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MA SATCHEL S LECITA
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Credential | BS COMMERCE
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Telephone | 562-852-9634
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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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