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General NPI Number Information
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NPI Number | 1356043699
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Entity Type | Organization
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Legal Business Name | GOLD COAST CARE INC.
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 3442 EMPRESA DR STE C
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7357
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Country | US
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Telephone | 805-461-5892
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 N PATTERSON AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93111-1113
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Country | US
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Telephone | 805-461-5892
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JASJIT S DHILLON
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Credential |
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Telephone | 310-995-7139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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