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General NPI Number Information
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NPI Number | 1376489278
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Entity Type | Organization
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Legal Business Name | GOLDEN AGE CARE GROUP LLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 5 UPPER NEWPORT PLZ STE 207
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2630
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Country | US
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Telephone | 949-630-0487
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Fax | 877-497-3099
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Provider Business Mailing Address
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Address Line | 5 UPPER NEWPORT PLZ STE 207
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2630
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Country | US
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Telephone | 949-630-0487
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Fax | 877-497-3099
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SCOTT MCKENZIE
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Credential |
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Telephone | 949-630-0487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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