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General NPI Number Information
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NPI Number | 1013828557
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Entity Type | Organization
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Legal Business Name | GOLDEN YEARS GROUP ONE
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 2324 E PURITAN LN
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City | ANAHEIM
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State | CA
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Zip | 92806-4215
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Country | US
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Telephone | 949-994-2900
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Fax | 714-333-4412
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Provider Business Mailing Address
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Address Line | 2324 E PURITAN LN
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City | ANAHEIM
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State | CA
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Zip | 92806-4215
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Country | US
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Telephone | 949-994-2900
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Fax | 714-333-4412
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AMEER ATTRAH
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Credential |
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Telephone | 949-994-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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