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General NPI Number Information
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NPI Number | 1659737286
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Entity Type | Organization
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Legal Business Name | LIFE CHANGING ADULT DAYCARE
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 305 BIRCH AVE
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City | INDIANOLA
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State | MS
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Zip | 38751-2107
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Country | US
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Telephone | 662-207-3645
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53 2110 KINLOCK ROAD
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City | INDIANOLA
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State | MS
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Zip | 38751-0053
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Country | US
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Telephone | 662-207-3645
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PAMELA LORRAINE RANDLE
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Credential |
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Telephone | 662-207-3645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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