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General NPI Number Information
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NPI Number | 1336720549
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Entity Type | Organization
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Legal Business Name | GOLDEN GATES HOSPICE DME, LLC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 4041 W WHEATLAND RD STE 166
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City | DALLAS
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State | TX
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Zip | 75237-4061
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Country | US
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Telephone | 214-247-1090
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 RIO VERDE DR
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City | DESOTO
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State | TX
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Zip | 75115-7200
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Country | US
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Telephone | 214-335-7563
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANA HAMILTON
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Credential |
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Telephone | 214-247-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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