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General NPI Number Information
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NPI Number | 1790030302
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Entity Type | Organization
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Legal Business Name | GOLDEN CARE COUNSELING GROUP INC
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 9401 OLD PINE RD
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City | BOCA RATON
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State | FL
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Zip | 33428-3055
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Country | US
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Telephone | 561-715-9873
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Fax | 561-432-3557
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Provider Business Mailing Address
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Address Line | 9401 OLD PINE RD
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City | BOCA RATON
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State | FL
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Zip | 33428-3055
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Country | US
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Telephone | 561-715-9873
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Fax | 561-432-3557
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PATRICIA BARIS
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Credential | LCSW
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Telephone | 561-715-9873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW9063
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License Number State | FL
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