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General NPI Number Information
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NPI Number | 1063170108
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Entity Type | Organization
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Legal Business Name | GOLDEN GATE HOSPICE INC
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 410 N SCOTTSDALE RD STE 1000
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City | TEMPE
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State | AZ
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Zip | 85288-7095
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Country | US
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Telephone | 602-669-9812
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N SCOTTSDALE RD STE 1000
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City | TEMPE
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State | AZ
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Zip | 85288-7095
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Country | US
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Telephone | 602-669-9812
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATHEW HARRISON
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Credential |
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Telephone | 817-941-1068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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