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General NPI Number Information
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NPI Number | 1891308425
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS TERRACE LLC
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 1470 S ROBERTSON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-3402
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Country | US
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Telephone | 310-273-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 12156 SHERMAN WAY
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-5501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | AHARON STRIKS
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Credential |
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Telephone | 818-983-2007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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