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General NPI Number Information
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NPI Number | 1669748216
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Entity Type | Organization
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Legal Business Name | NEW HORIZON RESIDENTIAL CARE, LLC
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 8889 HARVEST HILL WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-1460
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Country | US
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Telephone | 916-681-7134
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Fax |
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Provider Business Mailing Address
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Address Line | 5404 TAMARINDO LN
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City | ELK GROVE
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State | CA
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Zip | 95758-6823
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Country | US
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Telephone | 714-345-6050
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Fax |
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Authorized Official
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Title or Position | PARTNER/ADMINISTRATOR
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Name | IRANI BHATTACHARYA
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Credential |
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Telephone | 714-345-6050
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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 | 347004739
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License Number State | CA
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