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General NPI Number Information
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NPI Number | 1366197311
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Entity Type | Organization
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Legal Business Name | PRECISE MED, LLC
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 970 RESERVE DR STE 132
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City | ROSEVILLE
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State | CA
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Zip | 95678-1377
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Country | US
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Telephone | 510-599-8368
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Fax |
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Provider Business Mailing Address
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Address Line | 1861 CAMINO REAL WAY
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City | ROSEVILLE
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State | CA
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Zip | 95747-8430
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Country | US
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Telephone | 510-599-8368
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. DANFORTH CHRISTIAN CEA MALLARI
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Credential | MHA, LNHA, LVN
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Telephone | 510-599-8368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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