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General NPI Number Information
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NPI Number | 1720900905
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Entity Type | Organization
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Legal Business Name | GOERTZEN CARE DBA ANDERSSON CARE
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 32924 ODOM LN
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City | FORT BRAGG
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State | CA
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Zip | 95437-8533
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Country | US
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Telephone | 707-964-4040
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Fax | 707-964-4052
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Provider Business Mailing Address
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Address Line | 32924 ODOM LN
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City | FORT BRAGG
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State | CA
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Zip | 95437-8533
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Country | US
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Telephone | 707-964-4040
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Fax | 707-964-4052
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. AARON GOERTZEN
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Credential | MA
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Telephone | 707-357-4640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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