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General NPI Number Information
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NPI Number | 1659716199
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Entity Type | Organization
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Legal Business Name | TORREY PINES REHABILITATION HOSPITAL LLC
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 1701 S TORREY PINES DR
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City | LAS VEGAS
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State | NV
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Zip | 89146-2999
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Country | US
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Telephone | 310-699-4518
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Fax |
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Provider Business Mailing Address
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Address Line | 530 N PUENTE ST
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City | BREA
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State | CA
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Zip | 92821-2804
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Country | US
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Telephone | 310-699-4518
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS MATHESON CHAMBERS
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Credential |
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Telephone | 310-699-4518
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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 |
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