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General NPI Number Information
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NPI Number | 1790590628
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Entity Type | Organization
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Legal Business Name | CARING HEARTS OF SANTA PAULA
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 404 E MAIN ST
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City | SANTA PAULA
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State | CA
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Zip | 93060-2651
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Country | US
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Telephone | 805-420-9605
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Fax |
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Provider Business Mailing Address
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Address Line | 19867 COLLINS RD
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-4837
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Country | US
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Telephone | 805-444-2386
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAM RUSH GO
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Credential |
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Telephone | 805-444-2386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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