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General NPI Number Information
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NPI Number | 1164338737
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Entity Type | Organization
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Legal Business Name | GOLDEN VALLEY HEALTH CENTERS
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 848 E HAMMER LN
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City | STOCKTON
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State | CA
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Zip | 95210-2741
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Country | US
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Telephone | 209-724-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 848 E HAMMER LN
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City | STOCKTON
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State | CA
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Zip | 95210-2741
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Country | US
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Telephone | 209-724-6000
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF PACE PROGRAM
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Name | CHERIE JELINEK
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Credential |
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Telephone | 209-617-6682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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