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General NPI Number Information
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NPI Number | 1497471551
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Entity Type | Organization
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Legal Business Name | A SENIOR CONNECTION
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 5631 MAJOR WAY
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City | SACRAMENTO
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State | CA
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Zip | 95841-4715
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Country | US
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Telephone | 916-390-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 4005 MANZANITA AVE # 6-114
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City | CARMICHAEL
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State | CA
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Zip | 95608-1770
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CASSIE SAKAHARA
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Credential |
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Telephone | 916-390-5345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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