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General NPI Number Information
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NPI Number | 1477610640
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Entity Type | Organization
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Legal Business Name | DIGNITY COMMUNITY CARE
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 1420 S CENTRAL AVE
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City | GLENDALE
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State | CA
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Zip | 91204-2508
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Country | US
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Telephone | 818-502-2215
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Fax | 818-409-7688
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Provider Business Mailing Address
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Address Line | 1420 S CENTRAL AVE
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City | GLENDALE
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State | CA
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Zip | 91204-2508
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Country | US
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Telephone | 818-502-1900
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KORA GUOYAVATIN
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Credential |
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Telephone | 818-502-2204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 930000099
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 930000099
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 930000099
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 930000099
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License Number State | CA
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