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General NPI Number Information
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NPI Number | 1174204168
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Entity Type | Organization
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Legal Business Name | OAKLEY PLACE OF SENECA
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1306 BRANCH ST
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City | SENECA
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State | KS
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Zip | 66538-1503
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Country | US
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Telephone | 785-221-7740
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4047
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City | TOPEKA
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State | KS
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Zip | 66604-0047
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Country | US
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Telephone | 785-221-7740
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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 | MRS. MANDY K TINCH
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Credential |
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Telephone | 785-221-7740
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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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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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