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General NPI Number Information
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NPI Number | 1558661306
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Entity Type | Organization
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Legal Business Name | LIFE CARE MEDICAL SOLUTIONS, INC
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 175 S. JEFFERSON ST. SUITE C
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City | NASHVILLE
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State | IN
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Zip | 47448-0711
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Country | US
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Telephone | 812-988-6832
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Fax | 812-988-6831
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Provider Business Mailing Address
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Address Line | PO BOX 711 175 S. JEFFERSON ST. SUITE C
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City | NASHVILLE
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State | IN
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Zip | 47448-0711
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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 | PRESIDENT
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Name | HAROLD CAMERON
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Credential |
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Telephone | 812-988-6832
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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 | 100124121
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License Number State | IN
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