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General NPI Number Information
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NPI Number | 1811211915
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Entity Type | Organization
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Legal Business Name | ADVANCED SKILLED NURSING INC.
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 975 NORTH VIRGIL AVENUE
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City | LOS ANGELES
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State | CA
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Zip | 90029
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Country | US
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Telephone | 323-665-5793
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Fax | 323-665-2683
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Provider Business Mailing Address
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Address Line | 975 NORTH VIRGIL AVENUE
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City | LOS ANGELES
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State | CA
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Zip | 90029
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Country | US
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Telephone | 323-665-5793
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Fax | 323-665-2683
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ELIZABETH P AUSTRIA
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Credential |
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Telephone | 323-333-0509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 055157
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | ZZT05157F
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | CA
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