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General NPI Number Information
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NPI Number | 1144439340
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Entity Type | Organization
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Legal Business Name | GREEN VALLEY CARE CENTER
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 3118 GREEN VALLEY RD
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City | NEW ALBANY
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State | IN
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Zip | 47150-4213
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Country | US
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Telephone | 812-495-2341
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Fax |
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Provider Business Mailing Address
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Address Line | 520 HARRIS PL
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City | LOUISVILLE
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State | KY
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Zip | 40222-6704
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Country | US
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Telephone | 502-426-4034
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MR. MICHAEL AARON NASH
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Credential | OTR
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Telephone | 812-495-2341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 155070
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License Number State | IN
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