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General NPI Number Information
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NPI Number | 1528224581
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Entity Type | Organization
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Legal Business Name | AMCARE SENIOR LIFE PARTNERS, INC
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 220 E 4TH ST
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City | RUSSELLVILLE
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State | AR
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Zip | 72801-5134
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Country | US
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Telephone | 479-880-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 220 E 4TH ST
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City | RUSSELLVILLE
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State | AR
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Zip | 72801-5134
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Country | US
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Telephone | 479-880-1112
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MISTI CHANSLEY
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Credential |
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Telephone | 479-880-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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