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General NPI Number Information
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NPI Number | 1164861472
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Entity Type | Organization
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Legal Business Name | GOLDEN CARE INSTITUTE, INC.
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 5150 CANDLEWOOD ST SUITE 21B
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City | LAKEWOOD
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State | CA
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Zip | 90712-1925
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Country | US
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Telephone | 562-920-6200
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Fax | 562-920-6300
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Provider Business Mailing Address
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Address Line | 5150 CANDLEWOOD ST SUITE 21B
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City | LAKEWOOD
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State | CA
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Zip | 90712-1925
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Country | US
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Telephone | 562-920-6200
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Fax | 562-920-6300
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOSE RAMOS
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Credential | LVN
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Telephone | 310-634-2259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | CA
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