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General NPI Number Information
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NPI Number | 1689871261
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Entity Type | Organization
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Legal Business Name | COMMUNICARE, INC.
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 100 GRAY ST
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2608
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Country | US
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Telephone | 270-360-0419
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Fax | 270-763-1609
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Provider Business Mailing Address
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Address Line | 100 GRAY ST
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2608
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Country | US
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Telephone | 270-360-0419
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Fax | 270-763-1609
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Authorized Official
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Title or Position | CEO
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Name | LISA WISE
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Credential | LCSW
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Telephone | 270-765-2605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1460
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License Number State | KY
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