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General NPI Number Information
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NPI Number | 1063925303
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Entity Type | Organization
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Legal Business Name | LEGACY LIVING
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 445 E 10TH ST
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City | BAXTER SPRINGS
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State | KS
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Zip | 66713-1614
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Country | US
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Telephone | 620-856-2756
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Fax |
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Provider Business Mailing Address
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Address Line | 445 E 10TH ST
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City | BAXTER SPRINGS
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State | KS
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Zip | 66713-1614
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Country | US
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Telephone | 620-856-2756
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | RANDY DUKE DOTSON
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Credential |
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Telephone | 620-387-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | B011004
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License Number State | KS
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