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General NPI Number Information
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NPI Number | 1265320394
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Entity Type | Organization
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Legal Business Name | GOLDEN CARE THERAPY MINNESOTA LLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 2136 FORD PKWY # 5259
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City | SAINT PAUL
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State | MN
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Zip | 55116-2850
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Country | US
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Telephone | 218-225-8785
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Fax | 732-810-0385
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Provider Business Mailing Address
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Address Line | 4770 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10470-1136
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Country | US
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Telephone | 732-730-0700
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Fax | 732-810-0385
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Authorized Official
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Title or Position | COO
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Name | AKIVA TOPPER
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Credential |
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Telephone | 732-730-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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