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General NPI Number Information
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NPI Number | 1497695191
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Entity Type | Organization
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Legal Business Name | LEGACY LIVING CARE L, LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 2514 FLINT AVE
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City | SAN JOSE
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State | CA
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Zip | 95148-1721
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Country | US
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Telephone | 408-944-5031
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Fax |
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Provider Business Mailing Address
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Address Line | 3277 S WHITE RD # 52
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City | SAN JOSE
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State | CA
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Zip | 95148-4056
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Country | US
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Telephone | 408-944-5031
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Fax |
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Authorized Official
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Title or Position | CEO / PARTNER
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Name | LYNN NGUYEN
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Credential |
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Telephone | 669-213-5519
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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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