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General NPI Number Information
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NPI Number | 1144206756
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Entity Type | Organization
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Legal Business Name | JCH INC DBA GOLDEN SERVICES HOME HEALTH AND HOSPICE
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 800 W PIERCE ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5200
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Country | US
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Telephone | 575-885-3082
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Fax | 575-885-5331
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Provider Business Mailing Address
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Address Line | 800 W PIERCE ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5200
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Country | US
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Telephone | 575-885-3082
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Fax | 575-885-5331
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CARL E LIEBERWIRTH
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Credential |
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Telephone | 505-885-3082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 6096
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License Number State | NM
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