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General NPI Number Information
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NPI Number | 1265313688
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Entity Type | Organization
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Legal Business Name | GOLDEN HEALTH CARE LLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 460 ASHLEY RIDGE BLVD STE 600
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City | SHREVEPORT
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State | LA
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Zip | 71106-7238
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Country | US
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Telephone | 318-828-1365
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Fax |
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Provider Business Mailing Address
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Address Line | 460 ASHLEY RIDGE BLVD STE 600
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City | SHREVEPORT
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State | LA
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Zip | 71106-7238
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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 | OWNER
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Name | LA'SHUNDRA GREEN-WASHINGTON
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Credential | OWNER
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Telephone | 318-828-1365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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