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General NPI Number Information
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NPI Number | 1316444375
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Entity Type | Organization
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Legal Business Name | GOLDEN HOME CARE LLC
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 2718 BIG OAKS DR
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City | GARLAND
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State | TX
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Zip | 75044-7448
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Country | US
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Telephone | 469-888-1008
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Fax | 469-284-0017
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Provider Business Mailing Address
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Address Line | 2718 BIG OAKS DR
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City | GARLAND
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State | TX
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Zip | 75044-7448
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Country | US
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Telephone | 469-888-1008
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Fax | 469-284-0017
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | TAMMIE THI TRAN
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Credential |
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Telephone | 469-888-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 018679
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License Number State | TX
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