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General NPI Number Information
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NPI Number | 1104141357
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Entity Type | Organization
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Legal Business Name | CARE LINKS
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 851 MCINTOSH DR
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City | TAYLORSVILLE
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State | KY
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Zip | 40071-8407
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Country | US
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Telephone | 502-477-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 851 MCINTOSH DR
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City | TAYLORSVILLE
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State | KY
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Zip | 40071-8407
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Country | US
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Telephone | 502-477-2911
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | MRS. LISA M KEOWN
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Credential | ARNP
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Telephone | 502-477-2911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 3968P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 3968P
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 3968P
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 3968P
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License Number State | KY
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