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General NPI Number Information
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NPI Number | 1497293070
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Entity Type | Organization
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Legal Business Name | WINDSOR ARVIN HEALTHCARE, LLC
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 323 CAMPUS DRIVE
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City | ARVIN
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State | CA
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Zip | 93203
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Country | US
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Telephone | 661-854-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 9200 WEST SUNSET BLVD 700
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3603
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Country | US
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Telephone | 310-385-1090
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. LAWRENCE FEIGEN
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Credential |
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Telephone | 310-385-1090
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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 |
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License Number State | CA
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