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General NPI Number Information
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NPI Number | 1891935441
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Entity Type | Organization
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Legal Business Name | MAINSTREET ASSET MANAGEMENT
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 44 CHATEAU BLVD
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City | BATESVILLE
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State | IN
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Zip | 47006-5744
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Country | US
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Telephone | 812-932-8888
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Fax | 812-932-8899
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Provider Business Mailing Address
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Address Line | 44 CHATEAU BLVD
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City | BATESVILLE
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State | IN
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Zip | 47006-5744
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Country | US
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Telephone | 812-932-8888
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Fax | 812-932-8899
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF OPERATIONS
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Name | MS. AMY LYN EUBANK
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Credential |
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Telephone | 618-843-2204
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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 | 080064891
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License Number State | IN
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