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General NPI Number Information
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NPI Number | 1760601801
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Entity Type | Organization
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Legal Business Name | CARDINAL CARE CENTER INC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 1000 W ALLEN ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4800
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Country | US
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Telephone | 828-693-3388
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Fax | 828-697-5461
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Provider Business Mailing Address
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Address Line | 3073 HORSESHOE DR S SUITE 102
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City | NAPLES
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State | FL
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Zip | 34104-6144
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Country | US
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Telephone | 239-963-3400
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Fax | 239-963-3401
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Authorized Official
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Title or Position | DIRECTOR OF M I S
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Name | MS. DORENE M FORD
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Credential |
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Telephone | 239-963-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | HAL045001
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License Number State | NC
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