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General NPI Number Information
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NPI Number | 1588195770
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Entity Type | Organization
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Legal Business Name | ATTENDER CARE LLC
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 1022 HIGHLAND PARK DRIVE
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City | LEXINGTON
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State | KY
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Zip | 40505
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Country | US
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Telephone | 859-202-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 1022 HIGHLAND PARK DRIVE
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City | LEXINGTON
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State | KY
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Zip | 40505
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Country | US
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Telephone | 859-202-3730
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. DANA GEORGEJEAN WYATT
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Credential | SRNA
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Telephone | 859-202-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 500265
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License Number State | KY
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