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General NPI Number Information
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NPI Number | 1588292577
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Entity Type | Organization
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Legal Business Name | MEMORY CARE CONSULTING IN
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | 404 N GREEN ST
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City | GREENTOWN
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State | IN
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Zip | 46936-1127
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Country | US
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Telephone | 317-508-2642
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Fax |
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Provider Business Mailing Address
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Address Line | 404 N GREEN ST
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City | GREENTOWN
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State | IN
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Zip | 46936-1127
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Country | US
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Telephone | 317-508-2642
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA J LANNING
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Credential | LSW
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Telephone | 317-508-2642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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