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General NPI Number Information
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NPI Number | 1598226094
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Entity Type | Organization
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Legal Business Name | 3P PROPERTY II
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 153 S DEARBORN ST
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City | REDLANDS
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State | CA
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Zip | 92374-5509
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Country | US
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Telephone | 909-389-7586
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Fax |
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Provider Business Mailing Address
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Address Line | 143 N. GREENWOOD AVE BACK UNIT
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City | PASADENA
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State | CA
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Zip | 91107
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Country | US
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Telephone | 626-375-8888
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MICHAEL HSU
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Credential |
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Telephone | 626-375-8888
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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 |
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License Number State |
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