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General NPI Number Information
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NPI Number | 1598784597
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Entity Type | Organization
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Legal Business Name | GOLDEN HILLS HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 207 W ALAMEDA AVE STE 203
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City | BURBANK
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State | CA
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Zip | 91502-3022
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Country | US
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Telephone | 818-842-8262
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Fax | 818-842-8268
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Provider Business Mailing Address
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Address Line | 223 W ALAMEDA AVE STE 203
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City | BURBANK
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State | CA
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Zip | 91502-2575
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Country | US
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Telephone | 818-842-8262
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Fax | 818-842-8268
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | FERDINAND VILLANUEVA
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Credential |
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Telephone | 818-842-8262
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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 | 980001423
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License Number State | CA
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