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General NPI Number Information
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NPI Number | 1104188218
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Entity Type | Organization
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Legal Business Name | AGUILAR ELDERLY CARE FACILITY
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 7804 SANDILANDS WAY
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City | SACRAMENTO
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State | CA
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Zip | 95828-5250
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Country | US
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Telephone | 916-689-6301
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Fax | 916-689-6301
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Provider Business Mailing Address
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Address Line | 7804 SANDILANDS WAY
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City | SACRAMENTO
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State | CA
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Zip | 95828-5250
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Country | US
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Telephone | 916-689-6301
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Fax | 916-689-6301
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARICHELLE AGUILAR JAMELO
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Credential |
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Telephone | 916-806-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 347003270
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License Number State | CA
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