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General NPI Number Information
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NPI Number | 1659757284
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Entity Type | Organization
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Legal Business Name | HOLY CHILD RESIDENTIAL CARE LLC
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 5825 TAPPAN DR
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City | RENO
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State | NV
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Zip | 89523-2297
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Country | US
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Telephone | 775-746-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 5815 TAPPAN DR
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City | RENO
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State | NV
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Zip | 89523-2297
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | ALAN BARCELON
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Credential |
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Telephone | 775-830-5356
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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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