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General NPI Number Information
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NPI Number | 1275520652
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Entity Type | Organization
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Legal Business Name | CARE IV, INC.
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 1023 RUSHING CIR
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City | LITTLE ROCK
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State | AR
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Zip | 72204-2498
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Country | US
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Telephone | 501-686-2400
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Fax | 501-686-2499
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Provider Business Mailing Address
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Address Line | 1023 RUSHING CIR
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City | LITTLE ROCK
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State | AR
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Zip | 72204-2498
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Country | US
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Telephone | 501-686-2400
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Fax | 501-686-2499
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Authorized Official
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Title or Position | VICE PRESIDENT/GENERAL MANAGER
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Name | MR. STEVEN HAMMOND
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Credential |
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Telephone | 501-686-2400
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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 | AR3939
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License Number State | AR
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