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General NPI Number Information
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NPI Number | 1730370842
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Entity Type | Organization
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Legal Business Name | GOLIFE HEALTHCARE LLC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 2516 W GIST AVE
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City | VISALIA
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State | CA
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Zip | 93277-2018
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Country | US
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Telephone | 559-635-2385
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Fax | 559-635-4625
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Provider Business Mailing Address
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Address Line | PO BOX 3301
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City | VISALIA
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State | CA
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Zip | 93278-3301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR CLIENT SERVICES
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Name | MR. NICCOLO T GO
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Credential |
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Telephone | 559-635-2385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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