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General NPI Number Information
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NPI Number | 1073679601
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Entity Type | Organization
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Legal Business Name | BROOKDALE SENIOR LIVING COMMUNITIES, INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 8600 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67206-2939
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Country | US
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Telephone | 316-684-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67206-2939
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Country | US
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Telephone | 316-684-3100
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Fax | 316-684-6612
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | JOANNE K LESKOWICZ
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Credential |
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Telephone | 414-918-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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