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NPI 1669857215

NPI 1669857215 : GOLDEN TRANSITIONS INC. : NORFOLK, NE

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General NPI Number Information
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    NPI Number           |    1669857215
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN TRANSITIONS INC. 
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Dates
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    Enumeration Date     |    07/24/2015
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    Last Update Date     |    07/24/2015
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Provider Practice Location Address
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    Address Line         |    1800 W PASEWALK AVE STE A 
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    City                 |    NORFOLK
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    State                |    NE
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    Zip                  |    68701-5657
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    Country              |    US
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    Telephone            |    402-369-2975
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1800 W PASEWALK AVE STE A 
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    City                 |    NORFOLK
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    State                |    NE
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    Zip                  |    68701-5657
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    Country              |    US
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    Telephone            |    402-369-2975
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    Fax                  |    
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Authorized Official
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    Title or Position    |    GENERAL MANAGER
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    Name                 |    MRS. ANDREA M TRAUTMAN 
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    Credential           |    
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    Telephone            |    402-379-8225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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