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General NPI Number Information
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NPI Number | 1750667846
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Entity Type | Organization
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Legal Business Name | SIMKHA ADULT DAY HEALTH CARE
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 7659 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-2727
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Country | US
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Telephone | 310-420-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 175 N SWALL DR SUITE 305
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1940
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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 | OWNER
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Name | DIANA HAKIMI
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Credential |
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Telephone | 310-420-4449
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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 | CA0000856
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License Number State | CA
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