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General NPI Number Information
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NPI Number | 1801181185
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Entity Type | Organization
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Legal Business Name | SANDALWOOD HEALTHCARE,LLC
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 2600 BARROW RD
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City | LITTLE ROCK
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State | AR
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Zip | 72204-3335
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Country | US
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Telephone | 501-224-4173
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Fax | 501-217-0445
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Provider Business Mailing Address
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Address Line | 2600 BARROW RD
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City | LITTLE ROCK
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State | AR
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Zip | 72204-3335
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Country | US
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Telephone | 501-224-4173
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Fax | 501-217-0445
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. CATHY LYNN PARSONS
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Credential |
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Telephone | 870-530-3837
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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 | 902
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License Number State | AR
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