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General NPI Number Information
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NPI Number | 1972390615
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Entity Type | Organization
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Legal Business Name | GORDON STANDARD HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2108 N ST STE N
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 650-977-3731
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST STE N
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 650-977-3731
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. SHEENA GORDON
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Credential |
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Telephone | 650-977-3731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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