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General NPI Number Information
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NPI Number | 1407110422
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Entity Type | Organization
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Legal Business Name | GOLDEN TOUCH LICENSED PRACTICAL NURSING SERVICES PC
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 2117 BUFFALO RD # 132
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City | ROCHESTER
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State | NY
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Zip | 14624-1507
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Country | US
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Telephone | 917-407-9875
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Fax |
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Provider Business Mailing Address
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Address Line | 628 STRATTON DR
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City | EAST STROUDSBURG
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State | PA
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Zip | 18302-6723
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Country | US
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Telephone | 917-407-9875
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Fax | 570-369-4551
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Authorized Official
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Title or Position | CEO
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Name | MS. CAMILLE CAMERON
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Credential | LPN
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Telephone | 917-407-9875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 262548
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License Number State | NY
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