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NPI 1609391697

NPI 1609391697 : GOLDEN MEDHEALTH LLC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1609391697
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN MEDHEALTH LLC 
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Dates
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    Enumeration Date     |    08/10/2017
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    Last Update Date     |    06/16/2018
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Provider Practice Location Address
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    Address Line         |    9550 FOREST LN STE 456 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75243-5905
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    Country              |    US
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    Telephone            |    407-534-2980
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 835845 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75083-5845
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    Country              |    US
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    Telephone            |    407-534-2980
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NEHEMIAH  DAWSON 
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    Credential           |    
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    Telephone            |    407-534-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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