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General NPI Number Information
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NPI Number | 1114221066
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Entity Type | Organization
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Legal Business Name | THE LEGACY LIMITED PARTNERSHIP, LTD
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 5600 PIONEERS BLVD
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City | LINCOLN
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State | NE
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Zip | 68506-5172
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Country | US
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Telephone | 402-436-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 PIONEERS BLVD
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City | LINCOLN
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State | NE
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Zip | 68506-5172
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TJ NEIHAUS
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Credential |
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Telephone | 404-436-3000
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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 | ALF174
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License Number State | NE
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