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General NPI Number Information
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NPI Number | 1619477783
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Entity Type | Organization
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Legal Business Name | LOS ANGELES HEIGHTS PROPERTIES LLC
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 1034 CLOWER
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City | SAN ANTONIO
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State | TX
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Zip | 78201-3047
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Country | US
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Telephone | 210-831-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 515 CAMDEN ST
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City | SAN ANTONIO
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State | TX
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Zip | 78215-1925
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Country | US
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Telephone | 210-831-3200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEONEL REYES JR.
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Credential | MD
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Telephone | 210-827-6930
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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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