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General NPI Number Information
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NPI Number | 1770528523
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Entity Type | Organization
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Legal Business Name | NHC HEALTHCARE-MADISONVILLE LLC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 419 N SEMINARY ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-1515
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Country | US
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Telephone | 270-821-5564
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Fax |
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Provider Business Mailing Address
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Address Line | 419 N SEMINARY ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-1515
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Country | US
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Telephone | 270-821-5564
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MIKE NEAL
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Credential |
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Telephone | 603-736-9581
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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 | 100185
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License Number State | KY
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