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General NPI Number Information
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NPI Number | 1053107193
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Entity Type | Organization
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Legal Business Name | GOLDENCARE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 13562 HIGHWAY 65 NE
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City | HAM LAKE
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State | MN
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Zip | 55304-6920
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Country | US
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Telephone | 612-393-8976
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Fax |
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Provider Business Mailing Address
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Address Line | 13805 ELKHART RD
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City | APPLE VALLEY
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State | MN
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Zip | 55124-9250
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Country | US
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Telephone | 612-393-8976
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | CHAD LANGE
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Credential |
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Telephone | 612-393-8976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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