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General NPI Number Information
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NPI Number | 1689755456
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Entity Type | Organization
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Legal Business Name | S.H.C.C. , INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4700 ELVAS AVE
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City | SACRAMENTO
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State | CA
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Zip | 95819-2250
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Country | US
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Telephone | 916-454-4700
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Fax | 916-451-7962
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Provider Business Mailing Address
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Address Line | 4700 ELVAS AVE
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City | SACRAMENTO
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State | CA
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Zip | 95819-2250
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Country | US
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Telephone | 916-454-4700
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Fax | 916-451-7962
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN LUND
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Credential |
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Telephone | 805-565-9300
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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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