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General NPI Number Information
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NPI Number | 1871394494
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Entity Type | Organization
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Legal Business Name | GOLDEN HEALTH CLINIC LLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 5510 S FORT APACHE RD
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City | LAS VEGAS
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State | NV
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Zip | 89148
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Country | US
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Telephone | 702-900-9888
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Fax | 888-316-6618
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Provider Business Mailing Address
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Address Line | 5599 ROLLINS ST
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City | LAS VEGAS
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State | NV
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Zip | 89118-6050
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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 | OWNER
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Name | PENGFENG JACK JIN
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Credential | MD
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Telephone | 702-900-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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