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General NPI Number Information
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NPI Number | 1861414799
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Entity Type | Organization
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Legal Business Name | GOLDSTAR HOME HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 1032 W PIONEER PKWY STE200
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City | ARLINGTON
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State | TX
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Zip | 76013-7629
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Country | US
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Telephone | 817-461-3341
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Fax | 817-795-7074
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Provider Business Mailing Address
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Address Line | 1032 W PIONEER PKWY STE200
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City | ARLINGTON
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State | TX
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Zip | 76013-7629
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Country | US
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Telephone | 817-461-3341
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Fax | 817-795-7074
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Authorized Official
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Title or Position | CFO
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Name | JACINTA C LIM
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Credential | MHSM
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Telephone | 817-461-3341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 009830
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License Number State | TX
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