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General NPI Number Information
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NPI Number | 1609798453
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Entity Type | Organization
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Legal Business Name | THE GUARDIAN GROUNDS, LLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 2512 TRONERO WAY
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-3610
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Country | US
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Telephone | 916-460-8579
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 RESTON DR
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City | FOLSOM
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State | CA
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Zip | 95630-3608
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Country | US
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Telephone | 916-460-8579
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Fax |
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Authorized Official
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Title or Position | FOUNDER / CEO
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Name | GARY TRAVIS
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Credential |
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Telephone | 916-460-8579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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