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General NPI Number Information
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NPI Number | 1962339325
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Entity Type | Organization
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Legal Business Name | GOLDEN AGE
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 3521 EFFINGHAM LN
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City | MODESTO
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State | CA
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Zip | 95357-1433
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Country | US
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Telephone | 209-495-2504
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Fax | 209-593-3105
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Provider Business Mailing Address
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Address Line | 3521 EFFINGHAM LN
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City | MODESTO
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State | CA
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Zip | 95357-1433
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Country | US
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Telephone | 209-495-2504
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Fax | 209-593-3105
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Authorized Official
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Title or Position | OWNER
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Name | MARINELA PLACINTAR
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Credential |
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Telephone | 209-495-2504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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