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General NPI Number Information
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NPI Number | 1952875585
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Entity Type | Organization
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Legal Business Name | WOODLAKE LOVING CARE
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 8016 WOODLAKE AVE
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City | WEST HILLS
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State | CA
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Zip | 91304-3560
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Country | US
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Telephone | 818-217-6778
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Fax | 818-805-3361
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Provider Business Mailing Address
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Address Line | 8016 WOODLAKE AVE
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City | WEST HILLS
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State | CA
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Zip | 91304-3560
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Country | US
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Telephone | 818-217-6778
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Fax | 818-805-3361
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SHAKILA ARDAKANI
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Credential |
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Telephone | 818-217-6778
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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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