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General NPI Number Information
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NPI Number | 1255103859
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Entity Type | Organization
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Legal Business Name | MAJESTIC CARE OF CROWN POINT ALF LLC
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 205 W FRANCISCAN DR
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City | CROWN POINT
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State | IN
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Zip | 46307-4802
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Country | US
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Telephone | 219-661-5132
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Fax |
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Provider Business Mailing Address
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Address Line | 777 E MAIN ST
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City | WESTFIELD
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State | IN
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Zip | 46074-5300
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Country | US
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Telephone | 517-896-8729
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | MARGARET ANN CHAMBERLAIN
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Credential | JD
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Telephone | 517-896-8729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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