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General NPI Number Information
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NPI Number | 1063989432
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Entity Type | Organization
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Legal Business Name | RICE COUNTY ASSISTED LIVING LLC
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 502 S MILES AVE
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City | LYONS
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State | KS
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Zip | 67554-3008
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Country | US
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Telephone | 620-257-5012
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Fax | 620-257-5304
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Provider Business Mailing Address
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Address Line | 714 W 9TH ST
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City | LARNED
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State | KS
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Zip | 67550-2452
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Country | US
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Telephone | 620-285-6900
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Fax | 620-285-6907
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LAURA THERESA SMITH
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Credential |
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Telephone | 622-285-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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