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General NPI Number Information
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NPI Number | 1801083886
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Entity Type | Organization
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Legal Business Name | GOLDEN MEDICAL HEALTH INC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | CALLE RUFINA #3 SUITE A
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City | GUAYANILLA
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State | PR
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Zip | 00656
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Country | US
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Telephone | 787-835-3699
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 560340
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City | GUAYANILLA
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State | PR
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Zip | 00656-0340
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Country | US
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Telephone | 787-835-3699
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NIXSA GONZALEZ
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Credential |
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Telephone | 787-835-3699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 10129
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License Number State | PR
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