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General NPI Number Information
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NPI Number | 1184161309
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Entity Type | Organization
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Legal Business Name | GOLDEN SUN HEALTH SERVICES
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 3069 AMWILER RD STE 4
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City | ATLANTA
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State | GA
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Zip | 30360-2825
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Country | US
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Telephone | 678-861-8889
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Fax | 770-456-5045
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Provider Business Mailing Address
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Address Line | 3069 AMWILER RD STE 4
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City | ATLANTA
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State | GA
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Zip | 30360-2825
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Country | US
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Telephone | 678-861-8889
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALFRED SOMBOUN YIN
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Credential |
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Telephone | 678-861-8889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 067-R-1470
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 067-R-1470
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 067-R-1470
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License Number State | GA
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