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General NPI Number Information
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NPI Number | 1508798810
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Entity Type | Organization
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Legal Business Name | MONTGOMERY CARE SENIOR CENTER LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1925 GROVE WAY
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-6955
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Country | US
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Telephone | 510-889-8556
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Fax | 510-876-8929
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Provider Business Mailing Address
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Address Line | 1925 GROVE WAY
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-6955
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Country | US
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Telephone | 510-889-8556
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Fax | 510-876-8929
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MIRRIAM T PARAS
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Credential | BUSINESS ACCOUNTING
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Telephone | 415-726-7817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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