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General NPI Number Information
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NPI Number | 1225805906
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Entity Type | Organization
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Legal Business Name | GOLDEN FINISH LLC
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1675 ANSEL RD
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City | CLEVELAND
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State | OH
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Zip | 44106-4181
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Country | US
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Telephone | 216-299-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 ANSEL RD APT 1329
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City | CLEVELAND
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State | OH
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Zip | 44106-4175
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Country | US
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Telephone | 216-299-7780
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL DEVELOPMENT MANAGER
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Name | WILLIAM THOMAS BIBB JR.
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Credential |
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Telephone | 216-299-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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