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General NPI Number Information
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NPI Number | 1770456014
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Entity Type | Organization
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Legal Business Name | GOLDEN GATE MOBILE GERIATRIC CARE, A NURSING P.C.
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 2108 N ST # 10310
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 510-399-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST # 10310
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 510-399-0793
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CANDACE BLAUSER
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Credential | NP
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Telephone | 510-399-0793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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