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General NPI Number Information
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NPI Number | 1992954077
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Entity Type | Organization
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Legal Business Name | FOR THE LOVE OF LUCY INC
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 6 RABURN RD
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City | HUEYSVILLE
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State | KY
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Zip | 41640-6618
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Country | US
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Telephone | 169-679-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 5255 HWY 160 SUITE A
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City | LITTCARR
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State | KY
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Zip | 41834
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Country | US
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Telephone | 160-627-1242
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/OWNER
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Name | MRS. DANA WHITE SLONE
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Credential |
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Telephone | 16067912426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | KY
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