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General NPI Number Information
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NPI Number | 1841811791
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Entity Type | Organization
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Legal Business Name | YOUNG WALKER INC.
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 14 DEER CT
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City | SACRAMENTO
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State | CA
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Zip | 95823-4402
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Country | US
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Telephone | 916-261-3783
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Fax | 916-627-1516
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Provider Business Mailing Address
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Address Line | PO BOX 1732
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City | ELK GROVE
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State | CA
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Zip | 95759-1732
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Country | US
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Telephone | 916-261-3783
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Fax | 916-627-1516
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Authorized Official
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Title or Position | CEO
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Name | MRS. CARMEN WALKER
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Credential |
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Telephone | 916-261-3783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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