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General NPI Number Information
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NPI Number | 1528588027
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Entity Type | Organization
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Legal Business Name | DYCORA TRANSITIONAL HEALTH & LIVING -- TWIN OAKS LLC
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 897 N M ST
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City | TULARE
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State | CA
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Zip | 93274-2017
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Country | US
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Telephone | 559-687-1340
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Fax | 559-684-8753
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Provider Business Mailing Address
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Address Line | 650 W ALLUVIAL AVE
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City | FRESNO
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State | CA
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Zip | 93711-5507
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Country | US
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Telephone | 559-430-3901
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Fax | 559-430-3995
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Authorized Official
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Title or Position | CEO
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Name | MS. JULIANNE WILLIAMS
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Credential |
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Telephone | 559-430-3901
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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 |
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