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General NPI Number Information
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NPI Number | 1629209192
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Entity Type | Organization
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Legal Business Name | NPH
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Dates
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Enumeration Date | 08/01/2009
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Last Update Date | 08/01/2009
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Provider Practice Location Address
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Address Line | 930 W EAST AVE #3
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City | CHICO
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State | CA
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Zip | 95926-2044
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Country | US
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Telephone | 530-519-1251
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Fax |
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Provider Business Mailing Address
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Address Line | 930 W EAST AVE #3
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City | CHICO
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State | CA
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Zip | 95926-2044
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Country | US
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Telephone | 530-519-1251
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | MS. ROBERTA JENE LYNCH
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Credential | LVN
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Telephone | 530-519-1251
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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 | VN46854
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License Number State | CA
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