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General NPI Number Information
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NPI Number | 1316082407
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Entity Type | Organization
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Legal Business Name | DEPARTMENT FOR AGING AND INDEPENDENT LIVING
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 275 EAST MAIN 3WF
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City | FRANKFORT
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State | KY
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Zip | 40621
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Country | US
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Telephone | 502-564-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 275 EAST MAIN STREET 3WF
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City | FRANKFORT
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State | KY
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Zip | 40621
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Country | US
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Telephone | 502-564-6930
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Fax | 502-564-4595
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Authorized Official
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Title or Position | COMMISSIONER
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Name | MRS. DEBORAH S ANDERSON
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Credential |
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Telephone | 502-564-6930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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