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General NPI Number Information
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NPI Number | 1073445581
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Entity Type | Organization
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Legal Business Name | GOLDENPATH HOMECARE LLC
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Dates
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Enumeration Date | 05/30/2026
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Last Update Date | 05/30/2026
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Provider Practice Location Address
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Address Line | 3427 LANGLEY BEND LN
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City | FULSHEAR
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State | TX
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Zip | 77441-2639
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Country | US
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Telephone | 832-202-4359
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Fax |
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Provider Business Mailing Address
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Address Line | 3427 LANGLEY BEND LN
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City | FULSHEAR
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State | TX
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Zip | 77441-2639
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Country | US
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Telephone | 832-757-6771
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | MR. OLUSOLA AJAYI
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Credential | MD
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Telephone | 832-202-4359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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