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General NPI Number Information
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NPI Number | 1730230301
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Entity Type | Organization
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Legal Business Name | ST. CHARLES CARE CENTER, INC.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 600 FARRELL DR
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City | COVINGTON
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State | KY
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Zip | 41011-5126
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Country | US
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Telephone | 859-331-3224
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Fax | 859-292-1670
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Provider Business Mailing Address
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Address Line | 600 FARRELL DR
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City | COVINGTON
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State | KY
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Zip | 41011-5126
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Country | US
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Telephone | 859-331-3224
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Fax | 859-292-1670
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KAREN NICHOLE SMITH
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Credential |
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Telephone | 859-331-3224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 750018
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License Number State | KY
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