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General NPI Number Information
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NPI Number | 1942404975
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Entity Type | Organization
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Legal Business Name | GOLDENCARE ADHC, INC
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1508 B HWY 62 412
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City | HIGHLAND
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State | AR
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Zip | 72542
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Country | US
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Telephone | 870-856-2090
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 359
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City | CHEROKEE VILLAGE
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State | AR
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Zip | 72525-0359
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Country | US
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Telephone | 870-856-2090
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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 | MARY TOROSYAN
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Credential |
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Telephone | 870-856-2090
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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 |
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License Number State |
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