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General NPI Number Information
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NPI Number | 1699848192
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Entity Type | Organization
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Legal Business Name | GOLDEN HEALTH REHABILITATION CENTER INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 7254 SW 48TH ST
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City | MIAMI
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State | FL
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Zip | 33155-5525
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Country | US
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Telephone | 305-265-7878
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Fax | 305-265-9919
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Provider Business Mailing Address
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Address Line | 7254 SW 48TH ST
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City | MIAMI
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State | FL
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Zip | 33155-5525
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Country | US
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Telephone | 305-265-7878
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Fax | 305-265-9919
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Authorized Official
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Title or Position | CEO
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Name | MS. ALICIA FAJARDO
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Credential |
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Telephone | 305-265-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 101434
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License Number State | FL
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