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General NPI Number Information
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NPI Number | 1427401546
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Entity Type | Organization
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Legal Business Name | BELLWOOD ASSISTED LIVING LLC
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 3190 CARTHAGE HWY
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City | LEBANON
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State | TN
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Zip | 37087-9564
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Country | US
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Telephone | 615-453-4010
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Fax | 615-444-0906
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Provider Business Mailing Address
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Address Line | 3190 CARTHAGE HWY
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City | LEBANON
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State | TN
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Zip | 37087-9564
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Country | US
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Telephone | 615-453-4010
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Fax | 615-444-0906
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KRISTI CARTER
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Credential |
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Telephone | 615-453-4010
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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 | 230
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License Number State | TN
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