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General NPI Number Information
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NPI Number | 1659405330
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Entity Type | Organization
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Legal Business Name | LIGHTNING CREEK INVESTMENT GROUP, INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 330 N MAIN ST
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City | ERIE
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State | KS
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Zip | 66733-1128
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Country | US
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Telephone | 620-244-5301
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Fax | 620-244-5482
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Provider Business Mailing Address
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Address Line | 330 N MAIN ST
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City | ERIE
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State | KS
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Zip | 66733-1128
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Country | US
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Telephone | 620-244-5301
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Fax | 620-244-5482
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Authorized Official
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Title or Position | MANAGER
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Name | MS. MARGARET E TINDLE
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Credential |
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Telephone | 620-244-5301
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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 |
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License Number State |
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