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General NPI Number Information
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NPI Number | 1538159769
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Entity Type | Organization
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Legal Business Name | MARGUERITE TERRACE
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 KIRK AVE
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City | SAN JOSE
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State | CA
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Zip | 95127-2214
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Country | US
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Telephone | 408-729-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 10 KIRK AVE
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City | SAN JOSE
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State | CA
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Zip | 95127-2214
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Country | US
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Telephone | 408-729-2000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. LORI MICHELLE APPLEBEE
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Credential | RN
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Telephone | 408-729-2010
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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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