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General NPI Number Information
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NPI Number | 1730943838
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Entity Type | Individual
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Provider Name | ERLINDA GINES
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Gender | Female
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 2565 STONE VALLEY RD
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City | ALAMO
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State | CA
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Zip | 94507-2778
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Country | US
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Telephone | 925-743-1146
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Fax |
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Provider Business Mailing Address
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Address Line | 649 BLUE SPRUCE DR
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City | DANVILLE
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State | CA
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Zip | 94506-4524
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Country | US
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Telephone | 925-683-2021
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 076501041
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License Number State | CA
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