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General NPI Number Information
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NPI Number | 1194068569
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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 | 04/03/2013
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 3839 INDIAN RIPPLE RD
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City | BEAVERCREEK
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State | OH
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Zip | 45440-3468
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Country | US
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Telephone | 937-431-0455
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Fax | 937-431-0435
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Provider Business Mailing Address
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Address Line | 3839 INDIAN RIPPLE RD
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City | BEAVERCREEK
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State | OH
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Zip | 45440-3468
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Country | US
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Telephone | 937-431-0455
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Fax | 937-431-0435
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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 | 2196R
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License Number State | OH
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