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General NPI Number Information
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NPI Number | 1720684244
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Entity Type | Organization
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Legal Business Name | JCH INC GOLDEN SERVICES
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 611 W STEVENS ST
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City | CARLSBAD
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State | NM
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Zip | 88220-4954
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Country | US
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Telephone | 575-885-1689
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Fax | 575-885-1689
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Provider Business Mailing Address
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Address Line | 800 W PIERCE ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5218
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Country | US
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Telephone | 575-885-3082
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Fax | 575-885-3082
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | KIMBERLY SUSAN ROGGE-ROGERS
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Credential |
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Telephone | 575-885-3082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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