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General NPI Number Information
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NPI Number | 1790684009
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Entity Type | Organization
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Legal Business Name | KCARE HOMES INC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 2085 SAFFRON DR
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City | MANTECA
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State | CA
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Zip | 95337-7833
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Country | US
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Telephone | 209-665-7051
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CRAYDON CT
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City | SAN RAMON
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State | CA
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Zip | 94583-3906
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Country | US
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Telephone | 209-665-7051
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Fax |
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Authorized Official
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Title or Position | RN CONSULTANT
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Name | EUGENIAA VALDERAMA CUETO
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Credential |
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Telephone | 408-838-1340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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