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General NPI Number Information
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NPI Number | 1891915567
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Entity Type | Organization
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Legal Business Name | ONEGENERATION
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 17400 VICTORY BLVD
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City | VAN NUYS
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State | CA
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Zip | 91406-5349
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Country | US
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Telephone | 718-708-6625
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Fax | 818-996-2960
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Provider Business Mailing Address
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Address Line | 17400 VICTORY BLVD
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City | VAN NUYS
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State | CA
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Zip | 91406-5349
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Country | US
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Telephone | 718-708-6625
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Fax | 818-996-2960
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Authorized Official
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Title or Position | CFO/COO
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Name | MR. KENNETH KANG
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Credential |
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Telephone | 818-708-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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