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General NPI Number Information
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NPI Number | 1841384534
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Entity Type | Organization
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Legal Business Name | LIMESTONE COMMUNITY CARE, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25565 LEVIE DAVIS DRIVE
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City | ELKMONT
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State | AL
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Zip | 35620
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Country | US
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Telephone | 256-732-3712
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Fax | 256-732-3714
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Provider Business Mailing Address
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Address Line | 25565 LEVIE DAVIS DRIVE P.O. BOX 449
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City | ELKMONT
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State | AL
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Zip | 35620
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Country | US
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Telephone | 256-732-3712
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Fax | 256-732-3714
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Authorized Official
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Title or Position | OWNER
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Name | WAYNE AUBREY JONES
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Credential | M.D.
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Telephone | 256-732-3712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19353
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License Number State | AL
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