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General NPI Number Information
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NPI Number | 1508963828
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Entity Type | Organization
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Legal Business Name | ELDER CARE PLUS INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/23/2007
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Provider Practice Location Address
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Address Line | 203 BRUCE COURT CHARLESTON HEALTH CARE
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City | DANVILLE
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State | KY
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Zip | 40422-9999
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Country | US
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Telephone | 859-236-9292
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Fax | 859-236-3713
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Provider Business Mailing Address
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Address Line | 2256 LANCASTER RD
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City | DANVILLE
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State | KY
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Zip | 40422-9999
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Country | US
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Telephone | 859-797-4770
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATHRYN ANN MEURER
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Credential | PA C
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Telephone | 859-797-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA505
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License Number State | KY
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