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General NPI Number Information
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NPI Number | 1831476365
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Entity Type | Organization
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Legal Business Name | HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP
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Dates
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Enumeration Date | 11/11/2011
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 11630 GREVILLEA AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-2231
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Country | US
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Telephone | 310-679-9732
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Fax | 310-679-3672
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Provider Business Mailing Address
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Address Line | 11630 GREVILLEA AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-2231
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Country | US
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Telephone | 310-679-9732
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Fax | 310-679-3672
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Authorized Official
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Title or Position | MANAGER
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Name | SHLOMO RECHNITZ
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Credential |
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Telephone | 626-800-1191
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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 | 900000063
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License Number State | CA
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