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General NPI Number Information
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NPI Number | 1922516665
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Entity Type | Organization
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Legal Business Name | TREASURES OF OUR CULTURE, INC.
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2727 VIA MONTECITO
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3622
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Country | US
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Telephone | 949-366-6529
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ALBERTA
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City | ALISO VIEJO
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State | CA
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Zip | 92656-6058
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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 | LICENSEE
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Name | MRS. GABRIELA RIVERO
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Credential |
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Telephone | 949-636-6658
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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 | 306005181
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License Number State | CA
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