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General NPI Number Information
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NPI Number | 1891979886
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Entity Type | Organization
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Legal Business Name | TOTAL LONG-TERM CARE SOLUTIONS, PLLC
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 3623 E LOCUST CIR
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City | PROSPECT
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State | KY
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Zip | 40059-9020
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Country | US
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Telephone | 502-228-6550
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Fax | 502-228-6550
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Provider Business Mailing Address
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Address Line | 3623 E LOCUST CIR
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City | PROSPECT
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State | KY
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Zip | 40059-9020
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Country | US
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Telephone | 502-228-6550
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Fax | 502-228-6550
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | MS. LORA WELCH
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Credential | ARNP, FNP-C
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Telephone | 502-228-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 2708P
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License Number State | KY
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