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General NPI Number Information
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NPI Number | 1801054895
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Entity Type | Organization
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Legal Business Name | AUNDREYS RESIDENTIAL CARE INC.
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 8335 WINNETKA AVE # 162
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City | WINNETKA
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State | CA
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Zip | 91306-1630
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Country | US
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Telephone | 818-758-0196
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Fax | 818-758-0358
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Provider Business Mailing Address
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Address Line | 5740 OSTROM AVE
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City | ENCINO
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State | CA
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Zip | 91316-1406
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Country | US
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Telephone | 818-758-0196
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Fax | 818-758-0358
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Authorized Official
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Title or Position | CEO/ ADMINISTRATOR
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Name | PAULETTE MOSES
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Credential | B.S.,
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Telephone | 818-585-7956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 197607102
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License Number State | CA
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