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General NPI Number Information
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NPI Number | 1437399888
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Entity Type | Organization
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Legal Business Name | CROWNPOINTE COMMUNITIES LLC
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 7365 E 16TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-2308
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Country | US
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Telephone | 317-351-2578
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Fax | 317-375-7626
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Provider Business Mailing Address
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Address Line | 1836 S. PATRIOT DR.
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City | YORKTOWN
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State | IN
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Zip | 47396-9000
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Country | US
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Telephone | 765-759-0230
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Fax | 765-759-0240
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Authorized Official
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Title or Position | OWNER
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Name | MR. LARRY M NEW
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Credential |
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Telephone | 765-759-0230
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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 | 090057291
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License Number State | IN
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