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General NPI Number Information
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NPI Number | 1164126330
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Entity Type | Organization
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Legal Business Name | GOLDEN ERA ADHC LLC
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 4 UNION SQ
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City | UNION CITY
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State | CA
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Zip | 94587-3523
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Country | US
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Telephone | 408-300-2367
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Fax |
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Provider Business Mailing Address
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Address Line | 2638 RAINIER CT
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City | UNION CITY
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State | CA
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Zip | 94587-4923
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. HANH GIANG
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Credential |
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Telephone | 408-300-2367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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