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General NPI Number Information
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NPI Number | 1629919584
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Entity Type | Organization
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Legal Business Name | GOLDEN HEART SERVICES INC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 12320 8TH STREET CT
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City | AFTON
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State | MN
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Zip | 55001-9791
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Country | US
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Telephone | 651-983-6342
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Fax |
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Provider Business Mailing Address
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Address Line | 12320 8TH STREET CT
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City | AFTON
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State | MN
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Zip | 55001-9791
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Country | US
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Telephone | 651-983-6342
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Fax | 651-776-5251
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Authorized Official
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Title or Position | PRESIDENT
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Name | VONG LOR
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Credential |
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Telephone | 651-983-6342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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