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General NPI Number Information
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NPI Number | 1356798300
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Entity Type | Organization
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Legal Business Name | MADISON HEALTHCARE AND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 2821 W DIXON RD
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City | LITTLE ROCK
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State | AR
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Zip | 72206-4256
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Country | US
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Telephone | 501-888-4080
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Fax | 501-486-9119
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Provider Business Mailing Address
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Address Line | 2821 W DIXON RD
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City | LITTLE ROCK
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State | AR
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Zip | 72206-4256
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Country | US
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Telephone | 501-888-4080
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Fax | 501-486-9119
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Authorized Official
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Title or Position | MANAGER
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Name | JOSEPH SCHWARTZ
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Credential |
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Telephone | 201-635-1195
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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 | AR
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