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General NPI Number Information
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NPI Number | 1598161457
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Entity Type | Organization
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Legal Business Name | DBM PROPERTIES, LLC
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 17 US HIGHWAY 68 W
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City | BENTON
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State | KY
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Zip | 42025-7002
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Country | US
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Telephone | 270-205-4849
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Fax | 270-282-0005
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Provider Business Mailing Address
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Address Line | 136 MAIN STREET
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City | UNIONTOWN
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State | KY
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Zip | 42461
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Country | US
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Telephone | 270-205-4849
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Fax | 270-282-0005
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Authorized Official
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Title or Position | MEMBER
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Name | MR. WILLIAM BEAVEN
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Credential |
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Telephone | 270-205-4849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 720372
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License Number State | KY
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