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General NPI Number Information
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NPI Number | 1043243181
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Entity Type | Organization
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Legal Business Name | UCD CAARE CENTER
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3300 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95820-1451
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Country | US
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Telephone | 916-734-4201
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95820-1451
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | STAFF PERSONNEL MANAGER
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Name | DANIEL SLAUSON
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Credential |
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Telephone | 916-734-4208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number |
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License Number State |
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