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General NPI Number Information
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NPI Number | 1689997496
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Entity Type | Organization
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Legal Business Name | ENCARE, LLC
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 1725 E 32ND ST
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City | SAVANNAH
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State | GA
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Zip | 31404-2333
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Country | US
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Telephone | 912-234-6170
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Fax |
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Provider Business Mailing Address
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Address Line | 130 CANAL ST STE 301
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City | POOLER
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State | GA
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Zip | 31322-4089
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Country | US
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Telephone | 912-748-2744
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Fax | 912-748-8223
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHANDRA BURKE
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Credential |
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Telephone | 912-312-1941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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