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General NPI Number Information
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NPI Number | 1427578673
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Entity Type | Organization
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Legal Business Name | ADVANTAGE CASE MANAGEMENT
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 1169 EASTERN PKWY STE 2256
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City | LOUISVILLE
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State | KY
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Zip | 40217-1479
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Country | US
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Telephone | 502-690-8207
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Fax | 502-690-8139
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Provider Business Mailing Address
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Address Line | 1169 EASTERN PKWY STE 2256
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City | LOUISVILLE
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State | KY
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Zip | 40217-1479
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Country | US
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Telephone | 502-690-8207
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Fax | 502-690-8139
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CYNTHIA COOMES
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Credential |
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Telephone | 502-295-6241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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