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General NPI Number Information
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NPI Number | 1013961812
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Entity Type | Organization
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Legal Business Name | COMMUNICARE, INC.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 107 CRANES ROOST CT
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-3650
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Country | US
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Telephone | 270-765-2605
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Fax |
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Provider Business Mailing Address
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Address Line | 107 CRANES ROOST CT
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-3650
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Country | US
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Telephone | 270-765-2605
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LISA WISE
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Credential |
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Telephone | 270-765-2605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 80005
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80005
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 800005
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 800005
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 80005
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 80005
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 800005
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 800005
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 80005
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License Number State | KY
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