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General NPI Number Information
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NPI Number | 1982848990
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Entity Type | Organization
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Legal Business Name | HERITAGE HOUSE GROUP
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 5200 HOLLISTER AVENUE
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City | SANTA BARBARA
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State | CA
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Zip | 93111
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Country | US
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Telephone | 805-967-2661
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Fax | 805-681-9753
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Provider Business Mailing Address
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Address Line | 5200 HOLLISTER AVENUE
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City | SANTA BARBARA
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State | CA
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Zip | 93111
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Country | US
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Telephone | 805-967-2661
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Fax | 805-681-9753
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ROSEMARIE LYNN HARRIS
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Credential | RCFE ADMINISTRATOR
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Telephone | 805-879-5904
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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 | 425800777
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License Number State | CA
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