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General NPI Number Information
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NPI Number | 1982769022
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Entity Type | Organization
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Legal Business Name | CARMELITE SISTERS OF THE DIVINE HEART OF JESUS OF MISSOURI CARMEL HOME
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 2501 OLD HARTFORD RD
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City | OWENSBORO
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State | KY
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Zip | 42303-1339
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Country | US
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Telephone | 270-683-0227
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Fax | 270-685-3406
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Provider Business Mailing Address
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Address Line | 2501 OLD HARTFORD RD
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City | OWENSBORO
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State | KY
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Zip | 42303-1339
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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 | BUSINESS MANAGER
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Name | KARLA OSBORNE
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Credential |
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Telephone | 270-683-0227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100082
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License Number State | KY
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