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General NPI Number Information
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NPI Number | 1720992050
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Entity Type | Organization
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Legal Business Name | CARRIER MILLS SKILLED LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 6789 US 45 S
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City | CARRIER MILLS
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State | IL
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Zip | 62917-1225
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Country | US
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Telephone | 618-994-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 AVENIDA DEL DIABLO
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City | ESCONDIDO
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State | CA
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Zip | 92029-3112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SCOTT KIRBY
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Credential |
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Telephone | 619-201-5888
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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 | NULL
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