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General NPI Number Information
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NPI Number | 1457934952
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Entity Type | Organization
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Legal Business Name | CARTHAGE SENIOR CARE
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 1065 E FRANKLIN ST
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City | CARTHAGE
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State | MS
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Zip | 39051-3601
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Country | US
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Telephone | 601-267-1352
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Fax |
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Provider Business Mailing Address
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Address Line | 125 FOUNTAINS BLVD
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City | MADISON
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State | MS
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Zip | 39110-6344
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | LORI WARNOCK
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Credential |
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Telephone | 601-499-0899
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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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