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General NPI Number Information
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NPI Number | 1952692311
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Entity Type | Organization
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Legal Business Name | GOLDEN AGE HOME CARE, INC
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 600 WASHINGTON AVE FL 18UBUD2
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City | PHILADELPHIA
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State | PA
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Zip | 19147-4836
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Country | US
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Telephone | 215-689-0000
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Fax | 215-695-5000
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Provider Business Mailing Address
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Address Line | 600 WASHINGTON AVE FL 18UBUD2
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City | PHILADELPHIA
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State | PA
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Zip | 19147-4836
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Country | US
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Telephone | 215-689-0000
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Fax | 215-695-5000
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. INGA ZMIRLI
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Credential |
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Telephone | 215-689-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04330501
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License Number State | PA
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