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General NPI Number Information
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NPI Number | 1013226612
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Entity Type | Organization
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Legal Business Name | GOLD MEDICAL
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 1799 W 5TH AVE SUITE 252
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City | COLUMBUS
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State | OH
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Zip | 43212-2322
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Country | US
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Telephone | 800-237-0836
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 W 5TH AVE SUITE 252
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City | COLUMBUS
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State | OH
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Zip | 43212-2322
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ PHYSICIAN
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Name | DR. SARAH HOPE BONZA
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Credential | M.D.
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Telephone | 800-237-0836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N/A
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | N/A
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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