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General NPI Number Information
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NPI Number | 1629242599
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Entity Type | Organization
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Legal Business Name | NAPA SKILLED NURSING CENTER
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 2465 REDWOOD RD
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City | NAPA
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State | CA
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Zip | 94558-3103
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Country | US
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Telephone | 707-255-3012
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Fax | 707-255-1015
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Provider Business Mailing Address
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Address Line | 800 S B ST SUITE 100
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City | SAN MATEO
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State | CA
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Zip | 94401-4272
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Country | US
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Telephone | 650-347-9500
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Fax | 650-347-9400
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Authorized Official
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Title or Position | CFO
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Name | MR. HANNA F HANHAN
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Credential |
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Telephone | 650-347-9500
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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 |
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License Number State | CA
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