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General NPI Number Information
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NPI Number | 1962535914
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Entity Type | Organization
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Legal Business Name | GOLDEN OPPORTUNITY HOMES, INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2520 MURCHISON RD SUITE 3B
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-3566
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Country | US
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Telephone | 910-488-8777
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Fax | 910-482-4665
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Provider Business Mailing Address
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Address Line | PO BOX 9279
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-9083
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Country | US
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Telephone | 910-488-8777
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Fax | 910-482-4665
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MRS. VALERIE MAXINE COLEMAN
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Credential |
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Telephone | 910-797-5154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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