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General NPI Number Information
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NPI Number | 1013934868
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Entity Type | Organization
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Legal Business Name | GOLDEN STAR HOME HEALTH AGENCY INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2621 WALNUT CREEK DR
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City | MESQUITE
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State | TX
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Zip | 75181-4226
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Country | US
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Telephone | 469-726-0760
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Fax | 469-726-0761
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Provider Business Mailing Address
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Address Line | 2621 WALNUT CREEK DR
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City | MESQUITE
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State | TX
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Zip | 75181-4226
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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 | DON ADMINISTRATOR
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Name | MRS. COMFORT CHIMATARA NWOKE
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Credential |
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Telephone | 469-726-0760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009951
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License Number State | TX
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