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General NPI Number Information
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NPI Number | 1205010303
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH AND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 639 SOUTH MAIZE COURT
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City | WICHITA
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State | KS
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Zip | 67209-1337
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Country | US
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Telephone | 316-425-5600
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Fax | 316-425-8400
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Provider Business Mailing Address
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Address Line | 639 SOUTH MAIZE COURT
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City | WICHITA
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State | KS
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Zip | 67209-1337
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Country | US
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Telephone | 316-425-5600
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Fax | 316-425-8400
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | FREDERICK HERMES
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Credential |
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Telephone | 316-425-5600
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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 | N087061
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License Number State | KS
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