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General NPI Number Information
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NPI Number | 1528107745
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Entity Type | Organization
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Legal Business Name | PINERS NURSING HOME INC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 1800 PUEBLO AVE
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City | NAPA
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State | CA
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Zip | 94558-4751
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Country | US
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Telephone | 707-224-7925
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Fax | 707-255-0331
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Provider Business Mailing Address
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Address Line | 1800 PUEBLO AVE
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City | NAPA
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State | CA
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Zip | 94558-4751
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Country | US
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Telephone | 707-224-7925
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Fax | 707-255-0331
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Authorized Official
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Title or Position | CONTROLLER
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Name | MALINDA MEEKER
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Credential |
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Telephone | 707-224-3123
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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 | 110000059
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License Number State | CA
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