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General NPI Number Information
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NPI Number | 1083851596
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Entity Type | Organization
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Legal Business Name | L. AND J. WEBB INCORPORATED
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 3048 WESTERN AVE.
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City | CONNERSVILLE
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State | IN
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Zip | 47331-2555
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Country | US
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Telephone | 765-827-2001
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Fax | 765-827-2005
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Provider Business Mailing Address
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Address Line | 3048 WESTERN AVE.
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City | CONNERSVILLE
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State | IN
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Zip | 47331-2555
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Country | US
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Telephone | 765-827-2001
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Fax | 765-827-2005
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Authorized Official
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Title or Position | ADM/OWNER
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Name | MS. LISA KAY WEBB
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Credential | ADM.
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Telephone | 765-827-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 08-011983-1
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License Number State | IN
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