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General NPI Number Information
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NPI Number | 1306807136
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Entity Type | Organization
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Legal Business Name | LLOYD HEALTHCARE MANAGEMENT SYSTEMS INC
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 1800 WEIN STREET
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City | HERMANN
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State | MO
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Zip | 65041
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Country | US
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Telephone | 573-486-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 WEIN STREET
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City | HERMANN
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State | MO
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Zip | 65041
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Country | US
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Telephone | 573-486-3155
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JENIFER VANBOOVEN
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Credential |
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Telephone | 573-486-3155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 030020
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License Number State | MO
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