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General NPI Number Information
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NPI Number | 1326968991
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Entity Type | Organization
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Legal Business Name | UKRAINIAN AMERICAN HOUSE
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1101 CREEKSIDE RIDGE DR STE 290
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City | ROSEVILLE
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State | CA
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Zip | 95678-3567
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Country | US
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Telephone | 916-201-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 CREEKSIDE RIDGE DR STE 290
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City | ROSEVILLE
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State | CA
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Zip | 95678-3567
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Country | US
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Telephone | 916-201-0101
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DENYS NAKONECHNYI
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Credential |
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Telephone | 916-201-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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