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General NPI Number Information
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NPI Number | 1568353530
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Entity Type | Organization
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Legal Business Name | GOLDEN ELIXIR SOLUTIONS
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1872 FM 3186
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City | ONALASKA
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State | TX
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Zip | 77360-7550
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Country | US
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Telephone | 936-433-8169
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 566
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City | ONALASKA
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State | TX
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Zip | 77360-0566
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Country | US
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Telephone | 936-433-8169
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GINGER ELAINE SMITH
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Credential | CPT
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Telephone | 936-433-8169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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