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General NPI Number Information
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NPI Number | 1689016594
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Entity Type | Organization
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Legal Business Name | MAYFLOWER COMMUNITIES INC.
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 1335 S GUILFORD RD
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City | CARMEL
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State | IN
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Zip | 46032-2810
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Country | US
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Telephone | 317-706-6760
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Fax | 317-706-6761
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Provider Business Mailing Address
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Address Line | 1335 S GUILFORD RD
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City | CARMEL
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State | IN
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Zip | 46032-2810
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Country | US
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Telephone | 317-706-6760
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Fax | 317-706-6761
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. TROY CANNADAY
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Credential |
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Telephone | 317-706-6760
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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 |
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License Number State | IN
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