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General NPI Number Information
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NPI Number | 1841622552
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Entity Type | Organization
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Legal Business Name | LT SENIOR CARE, LLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 313 COOL WATER CT
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-8738
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Country | US
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Telephone | 270-782-3600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | BOWLING GREEN
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State | KY
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Zip | 42102-0266
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Country | US
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Telephone | 270-782-3600
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Fax | 270-782-0094
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Authorized Official
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Title or Position | MEMBER
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Name | JEFFREY TODD MCGEE
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Credential |
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Telephone | 270-782-3600
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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 | 500041
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License Number State | KY
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