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General NPI Number Information
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NPI Number | 1124995089
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Entity Type | Organization
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Legal Business Name | GOLDEN HEART MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 2111 SAM BASS RD STE 500A
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City | ROUND ROCK
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State | TX
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Zip | 78681-1801
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Country | US
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Telephone | 512-879-4155
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Fax | 512-788-9585
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Provider Business Mailing Address
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Address Line | 2111 SAM BASS RD STE 500A
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City | ROUND ROCK
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State | TX
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Zip | 78681-1801
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Country | US
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Telephone | 512-879-4155
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Fax | 512-788-9585
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Authorized Official
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Title or Position | OWNER
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Name | CATHARINE OOSTDAM
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Credential |
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Telephone | 512-879-4155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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