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General NPI Number Information
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NPI Number | 1083423396
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Entity Type | Organization
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Legal Business Name | LINCOLN RESIDENCES
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Dates
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Enumeration Date | 01/01/2025
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 1408 ALDER CREEK CT
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City | LINCOLN
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State | CA
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Zip | 95648-8248
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Country | US
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Telephone | 916-408-7199
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Fax | 877-166-7829
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Provider Business Mailing Address
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Address Line | 4970 WALNUT AVE
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City | SACRAMENTO
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State | CA
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Zip | 95841-3707
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Country | US
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Telephone | 916-408-7199
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Fax | 877-466-7829
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Authorized Official
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Title or Position | CEO
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Name | DR. RON ORDONA
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Credential | DNP
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Telephone | 916-408-7199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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