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General NPI Number Information
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NPI Number | 1831363548
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Entity Type | Organization
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Legal Business Name | EPISCOPAL COMMUNITIES & SERVICES FOR SENIORS
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 5801 WEST CRESTRIDGE RD
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City | RANCHO PALOS
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State | CA
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Zip | 90275
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Country | US
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Telephone | 310-541-2410
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Fax | 626-281-2246
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Provider Business Mailing Address
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Address Line | 1111 S ARROYO PARKWAY STE 230
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City | PASADENA
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State | CA
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Zip | 91105-3259
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Country | US
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Telephone | 626-403-5880
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Fax | 626-403-5881
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Authorized Official
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Title or Position | CONTROLLER
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Name | MRS. ELENA LIU
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Credential |
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Telephone | 626-403-1482
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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 | 910000128
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License Number State | CA
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