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General NPI Number Information
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NPI Number | 1316510852
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Entity Type | Organization
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Legal Business Name | CARING HEARTS COMMUNITY, LLC
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 1212 32ND ST
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City | ALLEGAN
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State | MI
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Zip | 49010-9198
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Country | US
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Telephone | 269-355-1927
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Fax | 269-355-1934
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Provider Business Mailing Address
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Address Line | 1212 32ND ST
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City | ALLEGAN
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State | MI
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Zip | 49010-9198
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Country | US
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Telephone | 269-355-1927
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Fax | 269-355-1934
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | REBECCA MARIE CARVER
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Credential |
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Telephone | 269-355-1927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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