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General NPI Number Information
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NPI Number | 1689139610
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Entity Type | Organization
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Legal Business Name | CESSABELLA RESIDENTIAL SUITE LLC
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 8295 OPAL STATION DR
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City | RENO
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State | NV
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Zip | 89506-7781
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Country | US
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Telephone | 775-677-9760
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Fax | 888-618-1758
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Provider Business Mailing Address
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Address Line | 480 S WELLS AVE
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City | RENO
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State | NV
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Zip | 89502-1823
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Country | US
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Telephone | 775-351-8470
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Fax | 888-618-1758
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Authorized Official
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Title or Position | STAFF
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Name | MARY AIHLA JALANDONI SIGUA
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Credential |
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Telephone | 775-250-0767
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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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