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General NPI Number Information
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NPI Number | 1497325906
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Entity Type | Individual
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Provider Name | MRS. MARIA PLANAS RIFORMO
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Gender | Female
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 2430 BANCROFT LN
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City | SAN PABLO
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State | CA
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Zip | 94806-3104
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Country | US
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Telephone | 510-222-4109
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Fax |
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Provider Business Mailing Address
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Address Line | 3831 LA COLINA RD
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City | EL SOBRANTE
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State | CA
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Zip | 94803-2913
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Country | US
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Telephone | 510-734-3890
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Fax | 510-223-7996
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 075601208
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 075600176
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 071441217
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License Number State | CA
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