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General NPI Number Information
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NPI Number | 1699823062
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Entity Type | Organization
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Legal Business Name | TRANSITIONAL LIVING CENTER AT SANTA BARBARA
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1135 N PATTERSON AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93111-1113
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Country | US
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Telephone | 805-683-1995
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Fax | 805-683-4793
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Provider Business Mailing Address
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Address Line | 1135 N PATTERSON AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93111-1113
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Country | US
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Telephone | 805-683-1995
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Fax | 805-683-4793
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SUSAN E. HANNIGAN
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Credential | OTRL, CCM
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Telephone | 805-683-1995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 421703368
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 421703369
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License Number State | CA
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