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General NPI Number Information
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NPI Number | 1538482724
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Entity Type | Organization
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Legal Business Name | CHATEAU BATTISTE EAST
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 25911 STANFORD ST
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City | HEMET
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State | CA
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Zip | 92544-4986
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Country | US
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Telephone | 760-322-9925
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Fax | 760-322-9914
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Provider Business Mailing Address
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Address Line | 255 N EL CIELO RD # 140-195
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6974
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Country | US
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Telephone | 760-322-9925
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Fax | 760-322-9914
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NIKHOL GRAHAM
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Credential |
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Telephone | 760-322-9926
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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 | 336407963
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License Number State | CA
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