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General NPI Number Information
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NPI Number | 1689456501
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Entity Type | Organization
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Legal Business Name | GOLDEN CARE GROUP
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 2800 SQUIRE CT
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City | CHESAPEAKE
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State | VA
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Zip | 23323-2925
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Country | US
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Telephone | 470-530-5184
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 OLD ALABAMA RD # 119-200
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City | ALPHARETTA
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State | GA
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Zip | 30022-5860
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Country | US
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Telephone | 470-530-5184
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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 | HIRIAM HICKS
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Credential |
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Telephone | 470-530-5184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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