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General NPI Number Information
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NPI Number | 1750900510
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Entity Type | Organization
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Legal Business Name | CAREMERIDIAN, LLC
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 3980 LAKE PLACID DR
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City | RENO
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State | NV
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Zip | 89511-6702
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Country | US
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Telephone | 775-470-5584
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Fax |
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Provider Business Mailing Address
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Address Line | 163 TECHNOLOGY DR STE 200
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City | IRVINE
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State | CA
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Zip | 92618-2486
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Country | US
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Telephone | 949-794-0787
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JUSTIN LEE
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Credential |
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Telephone | 949-794-0787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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