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General NPI Number Information
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NPI Number | 1568223014
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Entity Type | Organization
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Legal Business Name | CROSSPEAKS SERVICES, INC.
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 285 GILMORE RD
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City | RED BLUFF
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State | CA
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Zip | 96080-3511
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Country | US
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Telephone | 530-255-8582
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 MAIDU DR
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City | AUBURN
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State | CA
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Zip | 95603-5808
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Country | US
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Telephone | 530-477-3378
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MICHAEL LYMAN
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Credential |
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Telephone | 530-477-3378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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