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NPI 1699695239

NPI 1699695239 : JD PARAN GUEST HOME II : ELK GROVE, CA

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General NPI Number Information
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    NPI Number           |    1699695239
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    Entity Type          |    Organization 
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    Legal Business Name  |    JD PARAN GUEST HOME II 
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Dates
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    Enumeration Date     |    07/15/2026
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    Last Update Date     |    07/15/2026
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Provider Practice Location Address
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    Address Line         |    9458 NEWINGTON WAY 
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    City                 |    ELK GROVE
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    State                |    CA
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    Zip                  |    95758-4467
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    Country              |    US
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    Telephone            |    916-684-5959
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    Fax                  |    916-686-9046
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Provider Business Mailing Address
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    Address Line         |    9458 NEWINGTON WAY 
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    City                 |    ELK GROVE
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    State                |    CA
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    Zip                  |    95758-4467
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    Country              |    US
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    Telephone            |    916-684-5959
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    Fax                  |    916-686-9046
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. JINKY  PARAN 
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    Credential           |    
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    Telephone            |    916-257-3484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    177F00000X
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    Taxonomy Name        |    Lodging Provider
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    License Number       |    
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    License Number State |    
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