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General NPI Number Information
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NPI Number | 1942718481
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Entity Type | Organization
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Legal Business Name | CADENHEAD ENTERPRISES LLC
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 3903A N HIGHWAY 7
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-9604
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Country | US
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Telephone | 501-321-4962
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9121
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71910-9121
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIMMY CADENHEAD
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Credential |
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Telephone | 501-321-4962
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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 | AR5355
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License Number State | AR
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