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General NPI Number Information
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NPI Number | 1881991594
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Entity Type | Organization
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Legal Business Name | CAREGIVERS, LLC.
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 02/15/2011
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Provider Practice Location Address
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Address Line | 141 PROSPEROUS PL STE 22C
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City | LEXINGTON
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State | KY
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Zip | 40509-1854
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Country | US
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Telephone | 859-327-3787
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Fax | 859-327-3768
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Provider Business Mailing Address
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Address Line | PO BOX 1135
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City | LEXINGTON
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State | KY
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Zip | 40588-1135
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Country | US
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Telephone | 859-327-3787
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Fax | 859-327-3768
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MR. JOHN CLAIR REYNOLDS
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Credential |
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Telephone | 859-327-3787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0015013886
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License Number State | KY
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