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General NPI Number Information
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NPI Number | 1528457066
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Entity Type | Organization
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Legal Business Name | SILVER LINING CARE HOME
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 3570 HAZELTINE LN
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City | ROSEVILLE
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State | CA
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Zip | 95747-6319
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Country | US
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Telephone | 916-749-2224
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Fax | 916-742-1837
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Provider Business Mailing Address
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Address Line | 8538 KRANS CT
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City | ANTELOPE
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State | CA
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Zip | 95843-4059
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Country | US
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Telephone | 916-479-9191
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Fax | 916-479-9191
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Authorized Official
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Title or Position | LICENSEE/STAFF EDUCATOR
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Name | MRS. CYNTHIA RODRILLO DOLLAGA
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Credential | RN.
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Telephone | 916-749-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | 347005447
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License Number State | CA
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