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General NPI Number Information
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NPI Number | 1073360558
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Entity Type | Organization
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Legal Business Name | SWEET GUARDIANS HOME HEALTH
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Dates
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Enumeration Date | 05/02/2024
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 9198 GREENBACK LN STE 102
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City | ORANGEVALE
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State | CA
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Zip | 95662-4770
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Country | US
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Telephone | 916-222-9281
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Fax | 888-690-4155
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Provider Business Mailing Address
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Address Line | 9198 GREENBACK LN STE 102
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City | ORANGEVALE
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State | CA
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Zip | 95662-4770
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Country | US
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Telephone | 916-222-9281
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Fax | 888-690-4155
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | TERESA W WACHIRA
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Credential | RN
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Telephone | 916-222-9281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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