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NPI 1639059934

NPI 1639059934 : GOLDEN YEARS NP CARE CORP : LAKE WORTH, FL

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General NPI Number Information
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    NPI Number           |    1639059934
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN YEARS NP CARE CORP 
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Dates
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    Enumeration Date     |    09/05/2025
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    Last Update Date     |    09/05/2025
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Provider Practice Location Address
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    Address Line         |    7435 VIA LURIA 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33467-5225
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    Country              |    US
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    Telephone            |    561-254-1143
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    Fax                  |    772-673-8440
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Provider Business Mailing Address
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    Address Line         |    7435 VIA LURIA 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33467-5225
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    Country              |    US
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    Telephone            |    561-254-1143
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    Fax                  |    772-673-8440
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Authorized Official
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    Title or Position    |    AMBR
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    Name                 |     MARIE T ADONIS-RIZZO 
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    Credential           |    NP
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    Telephone            |    561-254-1143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207RG0300X
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    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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