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General NPI Number Information
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NPI Number | 1215939913
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Entity Type | Organization
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Legal Business Name | GOLDEN CARE INC.
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 323 S CROSS ST SUITE B
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1911
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Country | US
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Telephone | 501-372-4405
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Fax | 888-375-3398
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Provider Business Mailing Address
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Address Line | 323 S CROSS ST SUITE B
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1911
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Country | US
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Telephone | 501-372-4405
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Fax | 888-375-3398
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Authorized Official
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Title or Position | EDI IT ADMINISTRATOR
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Name | MR. STEVEN HAYES
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Credential | MCDBA
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Telephone | 501-372-4405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5306640001
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License Number State | AR
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