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General NPI Number Information
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NPI Number | 1891840039
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Entity Type | Organization
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Legal Business Name | GOLD CASTLE INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 5230 HOLLYWOOD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-4909
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Country | US
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Telephone | 323-666-0949
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Fax | 323-666-9317
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Provider Business Mailing Address
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Address Line | 5230 HOLLYWOOD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-4909
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Country | US
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Telephone | 323-666-0949
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Fax | 323-666-9317
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MILA GASS
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Credential | ETC.
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Telephone | 323-666-0949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | HMDR 101754
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License Number State | CA
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