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General NPI Number Information
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NPI Number | 1184565905
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Entity Type | Organization
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Legal Business Name | ARISE INDEPENDENT LIVING LLC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 2526 RAJKOVICH WAY
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City | STOCKTON
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State | CA
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Zip | 95212-3026
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Country | US
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Telephone | 209-399-1570
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Fax | 209-399-4589
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Provider Business Mailing Address
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Address Line | 2526 RAJKOVICH WAY
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City | STOCKTON
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State | CA
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Zip | 95212-3026
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Country | US
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Telephone | 209-399-1570
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Fax | 209-399-4589
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Authorized Official
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Title or Position | CEO
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Name | MANPREET TATLAH
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Credential |
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Telephone | 510-584-6280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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