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General NPI Number Information
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NPI Number | 1699278416
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Entity Type | Organization
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Legal Business Name | GOLDTHREAD TRANSPORTATION SERVICE, LLC
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Dates
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Enumeration Date | 03/18/2018
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 180 PROMENADE CIRCLE SUITE 300
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City | SACRAMENTO
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State | CA
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Zip | 95834-2659
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Country | US
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Telephone | 916-272-8994
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Fax | 916-290-0889
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Provider Business Mailing Address
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Address Line | 180 PROMENADE CIRCLE SUITE 300
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City | SACRAMENTO
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State | CA
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Zip | 95834-2659
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Country | US
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Telephone | 916-272-8994
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Fax | 916-290-0889
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Authorized Official
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Title or Position | OWNER
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Name | LATISHA LUCIENDA GOLDTHREAD
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Credential |
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Telephone | 916-272-8994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | CA
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