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General NPI Number Information
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NPI Number | 1134490865
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Entity Type | Organization
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Legal Business Name | LIFECARE SOLUTIONS
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Dates
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Enumeration Date | 01/26/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 1312 NIVENS RD
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City | BENTON
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State | MS
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Zip | 39039-9132
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Country | US
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Telephone | 901-844-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 NIVENS RD
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City | BENTON
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State | MS
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Zip | 39039-9132
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Country | US
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Telephone | 901-844-2500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY R RATCLIFF
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Credential | CNP
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Telephone | 901-844-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R853994
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License Number State | MS
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