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General NPI Number Information
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NPI Number | 1093751646
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Entity Type | Organization
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Legal Business Name | CHRISTIAN CARE COMMUNITIES, INC.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 100 NORTH DR
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1604
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Country | US
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Telephone | 270-886-0548
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Fax | 270-885-0393
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Provider Business Mailing Address
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Address Line | 100 NORTH DR
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | ELIZABETH JOYCE
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Credential | RPH
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Telephone | 270-886-0548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PO2549
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License Number State | KY
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