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General NPI Number Information
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NPI Number | 1598109068
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Entity Type | Organization
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Legal Business Name | CSL BATESVILLE LLC
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 44 CHATEAU BLVD
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City | BATESVILLE
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State | IN
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Zip | 47006-5744
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Country | US
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Telephone | 812-932-8888
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Fax | 812-932-8899
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Provider Business Mailing Address
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Address Line | 44 CHATEAU BLVD.
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City | BATESVILLE
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State | IN
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Zip | 47006-5744
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Country | US
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Telephone | 812-932-8888
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Fax | 812-932-8899
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | DAWN MOUNT
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Credential |
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Telephone | 972-308-8338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 12-006489-2
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License Number State | IN
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