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General NPI Number Information
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NPI Number | 1548187727
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Entity Type | Organization
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Legal Business Name | CORNERSTONE RESIDENTIAL LIVING GOSHEN
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 30585 DELANCY RD
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City | VISALIA
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State | CA
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Zip | 93291-9847
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Country | US
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Telephone | 559-731-8618
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 559-731-8618
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VINCENT FALCONE
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Credential | RN
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Telephone | 559-731-8618
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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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