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General NPI Number Information
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NPI Number | 1225207525
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Entity Type | Organization
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Legal Business Name | ALL CARE HOME AND COMMUNITY SERVICES
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | RT. 10 OLD ITMANN GRADE SCHOOL
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City | ITMANN
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State | WV
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Zip | 24847
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Country | US
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Telephone | 304-294-8800
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Fax | 304-294-8805
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | ITMANN
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State | WV
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Zip | 24847-0130
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Country | US
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Telephone | 304-294-8800
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Fax | 304-294-8805
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Authorized Official
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Title or Position | CASE MANAGEMENT SUPERVISOR
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Name | MRS. KAREN LOPEZ SMITH
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Credential |
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Telephone | 304-294-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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