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General NPI Number Information
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NPI Number | 1215311006
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Entity Type | Organization
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Legal Business Name | CARMENS FLENORY
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1206 LOOKOUT LN
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City | PICKERINGTON
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State | OH
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Zip | 43147-9839
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Country | US
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Telephone | 404-924-0160
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 LOOKOUT LN
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City | PICKERINGTON
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State | OH
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Zip | 43147-9839
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Country | US
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Telephone | 404-924-0160
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Fax |
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | CARMEN M FLENORY I
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Credential |
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Telephone | 404-924-0160
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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 |
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License Number State | PA
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