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General NPI Number Information
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NPI Number | 1780229294
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Entity Type | Organization
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Legal Business Name | GOLDEN YEARS HOME CARE SOLUTIONS
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 9126 ELK GROVE BLVD
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City | ELK GROVE
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State | CA
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Zip | 95624-2013
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Country | US
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Telephone | 916-333-0383
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Fax | 916-244-9898
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Provider Business Mailing Address
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Address Line | 9126 ELK GROVE BLVD
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City | ELK GROVE
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State | CA
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Zip | 95624-2013
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Country | US
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Telephone | 916-333-0383
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Fax | 916-244-9898
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Authorized Official
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Title or Position | COO
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Name | CARRIE MARIE BALLARD
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Credential |
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Telephone | 916-236-7310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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