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General NPI Number Information
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NPI Number | 1760800791
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Entity Type | Organization
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Legal Business Name | HOUSE OF SENIORS, CORP
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 19950 VIA NATALIE
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City | YORBA LINDA
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State | CA
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Zip | 92887-3149
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Country | US
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Telephone | 714-458-0570
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Fax | 714-917-2258
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Provider Business Mailing Address
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Address Line | 19950 VIA NATALIE
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City | YORBA LINDA
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State | CA
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Zip | 92887-3149
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Country | US
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Telephone | 714-458-0570
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Fax | 714-917-2258
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Authorized Official
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Title or Position | PARTNER
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Name | MR. TERRY RECORDS
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Credential |
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Telephone | 714-458-0570
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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 |
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License Number State |
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