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General NPI Number Information
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NPI Number | 1164898482
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Entity Type | Organization
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Legal Business Name | BEACON SENIOR SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 1400 BROWNS LN SUITE C
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City | LOUISVILLE
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State | KY
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Zip | 40207-4678
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Country | US
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Telephone | 502-632-0448
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 BROWNS LN SUITE C
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City | LOUISVILLE
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State | KY
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Zip | 40207-4678
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Country | US
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Telephone | 502-632-0448
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. WENDY MCLELLAN NEWELL
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Credential |
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Telephone | 502-632-0448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 500132
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License Number State | KY
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