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General NPI Number Information
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NPI Number | 1861993206
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Entity Type | Organization
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Legal Business Name | EC OPCO CARROLLWOOD, LLC
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 2626 W. BEARSS AVE
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City | TAMPA
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State | FL
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Zip | 33618
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Country | US
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Telephone | 813-960-5346
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N HURSTBORNE PKWY SUITE 200
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City | LOUISVILLE
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State | KY
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Zip | 40222
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Country | US
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Telephone | 971-213-4234
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTIAN N. CUMMINGS
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Credential |
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Telephone | 877-483-6827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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