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General NPI Number Information
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NPI Number | 1891296422
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGEL'S ADULT DAY HEALT CARE, LLC
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 4837 E. MCKINLEY AVENUE
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City | FRESNO
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State | CA
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Zip | 93703
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Country | US
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Telephone | 559-492-1621
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Fax | 559-492-2759
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Provider Business Mailing Address
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Address Line | 4837 E. MCKINLEY AVENUE
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City | FRESNO
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State | CA
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Zip | 93703
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Country | US
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Telephone | 559-492-1621
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Fax | 559-492-2759
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | TENG VANG
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Credential |
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Telephone | 559-492-1621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | CA
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