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General NPI Number Information
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NPI Number | 1518974542
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Entity Type | Organization
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Legal Business Name | B-EAST, LLC
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 8625 LAMAR ST
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City | SPRING VALLEY
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State | CA
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Zip | 91977-2518
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Country | US
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Telephone | 619-461-3222
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Fax | 619-461-3575
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Provider Business Mailing Address
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Address Line | 8625 LAMAR ST
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City | SPRING VALLEY
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State | CA
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Zip | 91977-2518
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Country | US
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Telephone | 619-461-3222
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Fax | 619-461-3575
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Authorized Official
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Title or Position | MANAGER
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Name | MR. SHLOMO RECHNITZ
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Credential |
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Telephone | 626-800-1191
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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 | 090000110
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License Number State | CA
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