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General NPI Number Information
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NPI Number | 1811242290
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Entity Type | Organization
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Legal Business Name | ALWAYS THERE PERSONAL CARE SERVICE LLC
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 8745 RAWLES AVE SUITE E
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-7800
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Country | US
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Telephone | 317-828-6310
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Fax | 317-802-7206
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Provider Business Mailing Address
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Address Line | 8745 RAWLES AVE SUITE E
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-7800
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Country | US
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Telephone | 317-828-6310
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Fax | 317-802-7206
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MONIQUE LASHAIR BUCKLEY
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Credential |
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Telephone | 317-828-6310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 12-012939
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License Number State | IN
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