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General NPI Number Information
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NPI Number | 1598723207
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Entity Type | Organization
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Legal Business Name | BAY AREA PROPERTIES, LLC
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3959 SHERIDAN AVE
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City | NORTH BEND
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State | OR
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Zip | 97459-2834
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Country | US
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Telephone | 541-756-4141
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Fax | 541-756-1049
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Provider Business Mailing Address
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Address Line | 3959 SHERIDAN AVE
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City | NORTH BEND
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State | OR
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Zip | 97459-2834
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Country | US
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Telephone | 541-756-4141
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Fax | 541-756-1049
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Authorized Official
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Title or Position | CEO
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Name | MS. TERESA LEE WALDROFF
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Credential | R.N, M.S
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Telephone | 503-595-2810
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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 | 33203
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License Number State | OR
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