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General NPI Number Information
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NPI Number | 1619369808
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Entity Type | Organization
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Legal Business Name | PETAR GUEST HOMES, INC.
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 902 DIABLO RD
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City | DANVILLE
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State | CA
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Zip | 94526-1922
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Country | US
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Telephone | 925-855-0959
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Fax |
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Provider Business Mailing Address
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Address Line | 902 DIABLO RD
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City | DANVILLE
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State | CA
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Zip | 94526-1922
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Country | US
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Telephone | 925-855-0959
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GHOLAM REZA KEYHANTAJ
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Credential |
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Telephone | 925-360-2936
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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 | 075600230
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License Number State | CA
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