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General NPI Number Information
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NPI Number | 1952995607
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Entity Type | Organization
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Legal Business Name | GOLDEN HOSPICE AND PALLIATIVE CARE, INC.
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 633 E FERNHURST DR STE 502
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City | KATY
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State | TX
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Zip | 77450-1589
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Country | US
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Telephone | 346-640-4353
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Fax |
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Provider Business Mailing Address
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Address Line | 633 E FERNHURST DR STE 502
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City | KATY
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State | TX
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Zip | 77450-1589
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Country | US
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Telephone | 346-640-4353
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHNSON AMBROISE
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Credential |
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Telephone | 346-640-4353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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