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General NPI Number Information
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NPI Number | 1063328045
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Entity Type | Organization
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Legal Business Name | SAHARA RESIDENTIAL CARE LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 505 E CENTER ST
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City | MANTECA
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State | CA
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Zip | 95336-4719
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Country | US
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Telephone | 209-372-7900
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Fax | 209-375-4736
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Provider Business Mailing Address
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Address Line | 2721 MAGAZINE LN
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City | TRACY
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State | CA
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Zip | 95377-8544
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Country | US
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Telephone | 209-612-8194
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SAIFUDDIN RANIWALA
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Credential | PHARM D
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Telephone | 209-612-8194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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