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General NPI Number Information
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NPI Number | 1821253659
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Entity Type | Organization
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Legal Business Name | GOLDEN ANGELS NETWORK
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 71 HILL DR
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City | HALIFAX
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State | PA
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Zip | 17032-9516
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Country | US
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Telephone | 717-896-8896
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Fax |
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Provider Business Mailing Address
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Address Line | 71 HILL DR
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City | HALIFAX
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State | PA
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Zip | 17032-9516
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Country | US
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Telephone | 717-896-8896
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. FRANCES ELIZABETH CLARK
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Credential | CNA
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Telephone | 717-896-8896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 84501306
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License Number State | PA
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