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General NPI Number Information
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NPI Number | 1083612782
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Entity Type | Organization
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Legal Business Name | SABETHA NURSING, LLC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 1441 OREGON ST
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City | SABETHA
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State | KS
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Zip | 66534-2134
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Country | US
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Telephone | 785-284-3411
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Fax | 785-284-3444
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Provider Business Mailing Address
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Address Line | 1441 OREGON ST
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City | SABETHA
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State | KS
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Zip | 66534-2134
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Country | US
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Telephone | 785-284-3411
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Fax | 785-284-3444
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Authorized Official
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Title or Position | TREASURER
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Name | MR. JAMES REIKER
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Credential |
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Telephone | 573-471-1113
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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 | N066005
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License Number State | KS
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