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General NPI Number Information
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NPI Number | 1780812073
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Entity Type | Organization
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Legal Business Name | GOLDEN PATIENT CARE SERVICES, INC
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 7505 PINES RD STE 1160
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City | SHREVEPORT
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State | LA
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Zip | 71129-3924
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Country | US
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Telephone | 318-703-4779
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Fax | 318-918-1258
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Provider Business Mailing Address
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Address Line | 7505 PINES RD STE 1160
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City | SHREVEPORT
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State | LA
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Zip | 71129-3924
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Country | US
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Telephone | 318-703-4779
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Fax | 318-918-1258
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Authorized Official
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Title or Position | COO
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Name | MRS. SANDRA MARIE WILLIAMS
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Credential | RN
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Telephone | 318-703-4779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | PCA 15247
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License Number State | LA
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