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General NPI Number Information
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NPI Number | 1396686416
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Entity Type | Organization
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Legal Business Name | GOLDEN POND L.P.
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 3415 MAYHEW RD
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City | SACRAMENTO
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State | CA
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Zip | 95827-3100
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Country | US
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Telephone | 916-369-8967
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Fax | 916-369-1831
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Provider Business Mailing Address
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Address Line | 200 PORTER DR STE 215
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City | SAN RAMON
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State | CA
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Zip | 94583-1524
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Country | US
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Telephone | 925-362-0354
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Fax | 925-362-8470
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Authorized Official
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Title or Position | PARTNER
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Name | MR. BRIAN E WALGENBACH
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Credential |
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Telephone | 510-407-0065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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