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General NPI Number Information
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NPI Number | 1770845703
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Entity Type | Organization
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Legal Business Name | SACRAMENTO VALLEY NURSING SERVICE, INC
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 3517 MARCONI AVE
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City | SACRAMENTO
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State | CA
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Zip | 95821-5328
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Country | US
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Telephone | 916-992-9222
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Fax | 877-496-6676
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Provider Business Mailing Address
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Address Line | 3517 MARCONI AVE SUITE 107B
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City | SACRAMENTO
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State | CA
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Zip | 95821-5328
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Country | US
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Telephone | 916-992-9222
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Fax | 877-496-9976
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ABEJE BEYAYEW
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Credential | RN
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Telephone | 916-992-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | C2333656
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License Number State | CA
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