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General NPI Number Information
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NPI Number | 1407947773
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Entity Type | Organization
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Legal Business Name | N & R OF CAMBRIDGE LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/15/2011
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Provider Practice Location Address
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Address Line | 2020 CAMBRIDGE DR
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City | LEXINGTON
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State | KY
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Zip | 40504-1912
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Country | US
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Telephone | 859-252-6747
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Fax | 859-255-9914
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Provider Business Mailing Address
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Address Line | 329 TOWNEPARK CIR SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40243-2348
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Country | US
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Telephone | 502-254-9525
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Fax | 502-254-9919
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Authorized Official
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Title or Position | CFO
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Name | MR. JOHN A. VINSON JR.
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Credential |
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Telephone | 502-254-9525
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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 | 100461
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License Number State | KY
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