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General NPI Number Information
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NPI Number | 1245195148
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Entity Type | Organization
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Legal Business Name | GOLDEN GATHERS LLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 5156 N 61ST ST
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City | MILWAUKEE
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State | WI
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Zip | 53218-4111
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Country | US
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Telephone | 262-394-3330
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Fax | 262-946-5002
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Provider Business Mailing Address
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Address Line | 4332 N 76TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53222-2004
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Country | US
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Telephone | 262-394-3330
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Fax | 262-946-5002
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Authorized Official
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Title or Position | DIRECTOR/ADULT DAY CARE CENTER
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Name | MS. DELETHIA L VEASEY
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Credential |
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Telephone | 262-394-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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