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General NPI Number Information
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NPI Number | 1578223889
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Entity Type | Organization
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Legal Business Name | CENTRAL ASSISTED LIVING, INC.
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 915 16TH ST
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City | CENTRAL CITY
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State | NE
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Zip | 68826-5243
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Country | US
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Telephone | 308-946-5567
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Fax | 308-946-3204
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | CENTRAL CITY
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State | NE
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Zip | 68826-0336
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Country | US
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Telephone | 308-946-5567
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Fax | 308-946-3204
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. KRISTI MCCLURE
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Credential |
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Telephone | 308-380-6148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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