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General NPI Number Information
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NPI Number | 1932912011
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Entity Type | Organization
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Legal Business Name | A1 LIVING INC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 2135 E 19TH ST APT ABCD
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-5892
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Country | US
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Telephone | 909-544-6460
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Fax | 909-544-6460
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Provider Business Mailing Address
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Address Line | 2135 E 19TH ST APT A
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-5892
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Country | US
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Telephone | 909-544-6460
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. GEORGETTE HARRIS
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Credential |
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Telephone | 909-544-6460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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