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General NPI Number Information
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NPI Number | 1124883871
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Entity Type | Organization
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Legal Business Name | GOLDEN HEALTH INITIATIVE INC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 909 W GROVE PKWY APT 1015
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City | TEMPE
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State | AZ
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Zip | 85283-8415
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Country | US
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Telephone | 480-231-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 909 W GROVE PKWY APT 1015
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City | TEMPE
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State | AZ
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Zip | 85283-8415
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Country | US
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Telephone | 480-231-1240
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RICHARD GOLDEN
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Credential |
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Telephone | 480-231-1240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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