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General NPI Number Information
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NPI Number | 1851834691
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Entity Type | Organization
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Legal Business Name | THE SAFE PLACE, LLC.
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 455 BYPASS RD STE A
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City | BRANDENBURG
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State | KY
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Zip | 40108-1745
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Country | US
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Telephone | 270-863-2110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 237
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City | CLARKSON
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State | KY
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Zip | 42726-0237
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Country | US
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Telephone | 270-863-2110
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRISTI R. ESTES
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Credential |
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Telephone | 270-863-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 750196
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License Number State | KY
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