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General NPI Number Information
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NPI Number | 1174375653
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Entity Type | Organization
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Legal Business Name | GOLDEN BEGINNINGS PEDIATRIC THERAPY SERVICES SAN DIEGO PC, CORP
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 3095 N IMPERIAL AVE
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City | EL CENTRO
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State | CA
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Zip | 92243-6319
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Country | US
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Telephone | 760-355-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 CHALCEDONY ST
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City | SAN DIEGO
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State | CA
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Zip | 92109-3233
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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 | OTD
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Name | EMILY ZGODA
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Credential |
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Telephone | 734-775-6446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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