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General NPI Number Information
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NPI Number | 1053134429
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Entity Type | Organization
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Legal Business Name | GOLDEN THERAPY SOLUTIONS LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 10408 AMERICAN FALLS LN
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City | LAS VEGAS
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State | NV
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Zip | 89144-1376
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Country | US
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Telephone | 702-809-4245
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80501
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City | LAS VEGAS
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State | NV
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Zip | 89180-0501
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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
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Name | LARISSA SILCOX
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Credential |
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Telephone | 702-809-4245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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