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General NPI Number Information
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NPI Number | 1184037293
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Entity Type | Organization
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Legal Business Name | INTEGRITY RESIDENT CARE, LLC
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 105 S COLLEGE ST
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City | SEARCY
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State | AR
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Zip | 72143-5144
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Country | US
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Telephone | 501-268-0400
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Fax | 501-268-0402
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Provider Business Mailing Address
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Address Line | 100 E PLEASURE AVE
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City | SEARCY
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State | AR
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Zip | 72143-7710
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Country | US
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Telephone | 501-268-0400
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Fax | 501-268-0402
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JEFFREY RAINS
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Credential | M.D.
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Telephone | 501-268-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 499
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License Number State | AR
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