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General NPI Number Information
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NPI Number | 1508157181
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Entity Type | Organization
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Legal Business Name | PLUM CREEK CARE CENTER, INC.
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 1507 N ADAMS ST
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City | LEXINGTON
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State | NE
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Zip | 68850-1243
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Country | US
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Telephone | 308-324-5531
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Fax | 608-324-5630
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Provider Business Mailing Address
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Address Line | 1507 N ADAMS ST
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City | LEXINGTON
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State | NE
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Zip | 68850-1243
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Country | US
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Telephone | 308-324-5531
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Fax | 608-324-5630
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL L MOORE
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Credential |
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Telephone | 605-642-7736
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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 |
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License Number State |
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