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General NPI Number Information
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NPI Number | 1336311570
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Entity Type | Organization
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Legal Business Name | GOLDEN LIFE HOME HEALTH AGENCY, INC.
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 10250 SW 56TH ST SUITE A201
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City | MIAMI
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State | FL
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Zip | 33165-7069
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Country | US
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Telephone | 786-220-9300
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Fax | 786-220-9301
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Provider Business Mailing Address
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Address Line | 10250 SW 56TH ST SUITE A201
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City | MIAMI
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State | FL
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Zip | 33165-7069
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Country | US
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Telephone | 786-220-9300
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Fax | 786-220-9301
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANA E VARGAS
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Credential | MD
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Telephone | 786-220-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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