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General NPI Number Information
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NPI Number | 1578101978
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Entity Type | Organization
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Legal Business Name | GOLDEN LIFE HOME HEALTH, INC.
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 7301 TOPANGA CANYON BLVD # 355
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City | CANOGA PARK
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State | CA
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Zip | 91303-3395
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Country | US
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Telephone | 818-287-7373
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Fax | 818-584-8856
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Provider Business Mailing Address
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Address Line | 7301 TOPANGA CANYON BLVD # 355
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City | CANOGA PARK
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State | CA
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Zip | 91303-3395
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Country | US
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Telephone | 818-287-7373
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Fax | 818-584-8856
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Authorized Official
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Title or Position | CEO
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Name | GAYANE CHOPURYAN
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Credential |
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Telephone | 818-287-7373
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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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