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General NPI Number Information
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NPI Number | 1952998098
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Entity Type | Organization
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Legal Business Name | CROSSPOINT RESIDENTIAL LLC
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Dates
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Enumeration Date | 12/23/2020
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Last Update Date | 12/23/2020
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Provider Practice Location Address
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Address Line | 7504 MOUNTAIN OAK WAY
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-2731
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Country | US
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Telephone | 916-514-3893
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Fax | 916-333-1004
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Provider Business Mailing Address
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Address Line | 7504 MOUNTAIN OAK WAY
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-2731
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Country | US
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Telephone | 916-514-3893
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICK OFOSE
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Credential | MD
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Telephone | 916-514-3893
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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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