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General NPI Number Information
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NPI Number | 1629736715
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Entity Type | Organization
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Legal Business Name | PALM VIEW PLEASANT LIVING INC.
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 710 N CHURCH ST.,
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City | REDLANDS
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State | CA
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Zip | 92374-3538
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Country | US
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Telephone | 909-328-2118
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Fax | 909-328-2039
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Provider Business Mailing Address
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Address Line | 710 N CHURCH ST.,
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City | REDLANDS
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State | CA
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Zip | 92374-3538
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Country | US
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Telephone | 909-328-2118
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Fax | 909-328-2039
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Authorized Official
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Title or Position | OWNER LICENSEE
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Name | MR. NIAZ KHALID
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Credential |
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Telephone | 909-969-0997
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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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