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NPI 1831646728

NPI 1831646728 : GOLDEN PSYCHIATRIC CENTER, INC. : CORAL GABLES, FL

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General NPI Number Information
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    NPI Number           |    1831646728
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN PSYCHIATRIC CENTER, INC. 
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Dates
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    Enumeration Date     |    09/08/2016
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    Last Update Date     |    09/08/2016
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Provider Practice Location Address
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    Address Line         |    6705 RED ROAD SUITE 610
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33143
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    Country              |    US
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    Telephone            |    786-542-8990
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    Fax                  |    786-542-8987
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Provider Business Mailing Address
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    Address Line         |    6705 RED ROAD SUITE 610
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33143
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    Country              |    US
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    Telephone            |    786-542-8990
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    Fax                  |    786-542-8987
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Authorized Official
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    Title or Position    |    OWNER/PSYCHIATRIST
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    Name                 |    DR. JUDITH  CASTRO-GOLDEN 
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    Credential           |    MD
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    Telephone            |    786-542-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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