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General NPI Number Information
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NPI Number | 1235927369
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Entity Type | Organization
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Legal Business Name | GOLDEN HOLISTIC WELLNESS
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 13620 NE 20TH ST STE G
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City | BELLEVUE
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State | WA
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Zip | 98005-4901
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Country | US
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Telephone | 425-550-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 LAKE WASHINGTON BLVD N APT A109
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City | RENTON
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State | WA
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Zip | 98056-2599
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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 | MANAGER
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Name | HIND GOLDEN
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Credential | NUTRITIONIST
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Telephone | 206-501-0670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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