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General NPI Number Information
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NPI Number | 1639245467
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Entity Type | Organization
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Legal Business Name | OAKHURST LIVING CENTER, INC.
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 40131 HIGHWAY 49
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City | OAKHURST
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State | CA
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Zip | 93644-9560
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Country | US
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Telephone | 559-683-2244
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Fax | 559-683-0220
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Provider Business Mailing Address
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Address Line | 35680 WISH I AH RD
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City | AUBERRY
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State | CA
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Zip | 93602-9615
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Country | US
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Telephone | 559-855-2211
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Fax | 559-855-6590
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JOHN ELLSWORTH HARSHMAN III
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Credential |
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Telephone | 559-855-2211
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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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