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NPI 1871448431

NPI 1871448431 : YOUR HOME ON GEMINI COURT LLC : SOLDOTNA, AK

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General NPI Number Information
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    NPI Number           |    1871448431
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    Entity Type          |    Organization 
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    Legal Business Name  |    YOUR HOME ON GEMINI COURT LLC 
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Dates
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    Enumeration Date     |    02/28/2026
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    Last Update Date     |    02/28/2026
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Provider Practice Location Address
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    Address Line         |    49045 GEMINI CT 
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    City                 |    SOLDOTNA
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    State                |    AK
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    Zip                  |    99669-9393
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    Country              |    US
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    Telephone            |    907-252-9384
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    47915 EVELYN LN 
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    City                 |    SOLDOTNA
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    State                |    AK
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    Zip                  |    99669-9308
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    Country              |    US
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    Telephone            |    907-252-9384
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAVID PAUL SALDIVAR 
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    Credential           |    
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    Telephone            |    907-953-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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