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General NPI Number Information
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NPI Number | 1689289969
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Entity Type | Organization
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Legal Business Name | GOLDEN LIFE SENIOR SERVICES LLC
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Dates
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Enumeration Date | 09/13/2020
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 5499 NOKOMIS CIR
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City | ORLANDO
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State | FL
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Zip | 32839-7317
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Country | US
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Telephone | 407-706-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 5499 NOKOMIS CIR
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City | ORLANDO
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State | FL
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Zip | 32839-7317
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Country | US
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Telephone | 407-706-7575
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JUDITH FLETCHER
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Credential | PHD
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Telephone | 407-706-7575
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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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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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