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General NPI Number Information
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NPI Number | 1417392705
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Entity Type | Organization
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Legal Business Name | KAR LITTLE BOX LLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 7 CREEK LN
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City | BRISTOL
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State | RI
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Zip | 02809-2401
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Country | US
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Telephone | 401-253-3000
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Fax | 401-254-1289
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Provider Business Mailing Address
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Address Line | 7 CREEK LN
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City | BRISTOL
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State | RI
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Zip | 02809-2401
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Country | US
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Telephone | 401-253-3000
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Fax | 401-254-1289
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Authorized Official
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Title or Position | MEMBER
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Name | MS. KIMBERLY A CIOCIOLA
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Credential |
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Telephone | 401-253-3000
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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 |
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License Number State |
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