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General NPI Number Information
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NPI Number | 1932024262
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Entity Type | Organization
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Legal Business Name | PREMIER SENIOR CARE GROUP CORPORATION
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 290 N SAN TOMAS AQUINO RD
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City | CAMPBELL
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State | CA
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Zip | 95008-1628
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Country | US
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Telephone | 408-378-2535
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Fax | 408-378-0168
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Provider Business Mailing Address
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Address Line | 290 N SAN TOMAS AQUINO RD
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City | CAMPBELL
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State | CA
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Zip | 95008-1628
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Country | US
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Telephone | 408-378-2535
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Fax | 408-378-0168
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | OLIVIA VELASQUEZ
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Credential |
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Telephone | 408-586-8144
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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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