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General NPI Number Information
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NPI Number | 1639511868
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Entity Type | Organization
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Legal Business Name | KNOXVILLE CARE PARTNERS LLC
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 606 N 7TH ST
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City | KNOXVILLE
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State | IA
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Zip | 50138-9577
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Country | US
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Telephone | 641-842-2187
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Fax |
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Provider Business Mailing Address
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Address Line | 121 SE SHURFINE DR STE 9
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City | ANKENY
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State | IA
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Zip | 50021-5425
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE ZIMBELMAN
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Credential |
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Telephone | 515-963-1125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 630389
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License Number State | IA
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