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General NPI Number Information
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NPI Number | 1871829861
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Entity Type | Organization
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Legal Business Name | GOLDENCARE, INC
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 1197 ARMORY ROAD
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City | CHESTER
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State | SC
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Zip | 29706
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Country | US
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Telephone | 803-581-7512
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Fax |
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Provider Business Mailing Address
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Address Line | 403 W MEETING ST
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City | LANCASTER
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State | SC
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Zip | 29720-2321
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Country | US
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Telephone | 803-416-8000
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SUSAN BOWERS
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Credential |
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Telephone | 803-416-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | ADC-0233
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License Number State | SC
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