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General NPI Number Information
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NPI Number | 1871125393
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Entity Type | Organization
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Legal Business Name | GOLDEN ARMS HOME HEALTH CARE
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 3436 COMMONWEALTH AVE
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City | WOODBURY
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State | MN
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Zip | 55125-4315
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Country | US
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Telephone | 952-237-6194
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Fax |
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Provider Business Mailing Address
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Address Line | 3436 COMMONWEALTH AVE
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City | WOODBURY
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State | MN
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Zip | 55125-4315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TETTEH T TOTIMEH
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Credential | REGISTERED NURSE
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Telephone | 952-237-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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