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General NPI Number Information
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NPI Number | 1013676030
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Entity Type | Individual
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Provider Name | MRS. NATALIA GOLDEN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 3653 CAGNEY DR STE 205
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City | TALLAHASSEE
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State | FL
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Zip | 32309-3353
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Country | US
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Telephone | 850-800-6023
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Fax | 850-999-7123
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Provider Business Mailing Address
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Address Line | 2910 KERRY FOREST PKWY # D4328
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City | TALLAHASSEE
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State | FL
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Zip | 32309-6892
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Country | US
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Telephone | 850-329-0833
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Fax | 850-999-7123
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 237440
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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