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General NPI Number Information
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NPI Number | 1861676421
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Entity Type | Organization
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Legal Business Name | METCALFE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 770 INDUSTRIAL DRIVE
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City | EDMONTON
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State | KY
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Zip | 42129
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Country | US
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Telephone | 270-432-2044
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Fax | 270-432-2044
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Provider Business Mailing Address
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Address Line | PO BOX 426
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City | EDMONTON
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State | KY
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Zip | 42129-0426
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Country | US
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Telephone | 270-432-2044
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Fax | 270-432-2044
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Authorized Official
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Title or Position | CFO
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Name | MR. TERRY SKAGGS
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Credential |
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Telephone | 270-926-9355
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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 |
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License Number State |
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