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General NPI Number Information
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NPI Number | 1730115189
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Entity Type | Organization
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Legal Business Name | THAMES HEALTHCARE GROUP, LLC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 6301 BASS RD
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City | PROSPECT
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State | KY
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Zip | 40059-9384
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Country | US
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Telephone | 502-228-8359
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Fax | 502-228-5469
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Provider Business Mailing Address
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Address Line | 6301 BASS RD
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City | PROSPECT
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State | KY
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Zip | 40059-9384
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Country | US
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Telephone | 502-228-8359
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Fax | 502-228-5469
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KAREN G MCDANIEL
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Credential |
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Telephone | 252-523-9094
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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 | 100430
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License Number State | KY
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