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General NPI Number Information
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NPI Number | 1659336436
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Entity Type | Organization
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Legal Business Name | AUREUS ACQUISITION I, LLC
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 3140 EL CAMINO REAL
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City | CARLSBAD
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State | CA
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Zip | 92008-2108
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Country | US
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Telephone | 760-720-9898
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Fax | 760-720-0175
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Provider Business Mailing Address
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Address Line | 7900 WESTPARK DR ATTN: MEDICARE BILLING, M. GARCIA
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City | MC LEAN
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State | VA
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Zip | 22102-4242
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Country | US
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Telephone | 703-854-0823
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Fax | 703-854-0164
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NANCY HALLECK
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Credential |
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Telephone | 760-720-9898
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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 | 080000627CA
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License Number State | CA
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