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General NPI Number Information
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NPI Number | 1558785212
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Entity Type | Organization
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Legal Business Name | TAO TAI HOMES, INC
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 765 DONALD ST
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City | SONOMA
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State | CA
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Zip | 95476-4604
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Country | US
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Telephone | 707-996-2161
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Fax | 707-996-5478
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Provider Business Mailing Address
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Address Line | 765 DONALD ST
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City | SONOMA
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State | CA
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Zip | 95476-4604
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Country | US
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Telephone | 707-996-2161
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Fax | 707-996-5478
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MS. MARILYN NGUYEN
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Credential | OWNER
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Telephone | 818-642-3668
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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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