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NPI 1982887709

NPI 1982887709 : GOLDEN TOUCH : CLINTON, MD

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General NPI Number Information
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    NPI Number           |    1982887709
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN TOUCH 
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Dates
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    Enumeration Date     |    12/14/2007
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    Last Update Date     |    12/14/2007
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Provider Practice Location Address
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    Address Line         |    6800 PURPLE LILAC LN 
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-4086
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    Country              |    US
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    Telephone            |    301-919-3880
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    Fax                  |    301-877-1273
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Provider Business Mailing Address
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    Address Line         |    6800 PURPLE LILAC LN 
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-4086
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    Country              |    US
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    Telephone            |    301-919-3880
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    Fax                  |    301-877-1273
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MRS. PAULINE ANNETT MITCHELL-EJIMAKOR 
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    Credential           |    
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    Telephone            |    301-919-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3104A0625X
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    Taxonomy Name        |    Assisted Living Facility (Mental Illness)
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    License Number       |    
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    License Number State |    MD
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