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General NPI Number Information
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NPI Number | 1215673603
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Entity Type | Organization
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Legal Business Name | CARNEGIE VILLAGE REHABILITATION & HEALTH CARE CENTER LLC
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 103 BERNARD DR
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City | BELTON
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State | MO
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Zip | 64012-6182
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Country | US
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Telephone | 916-491-6164
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Fax |
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Provider Business Mailing Address
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Address Line | 7611 STATE LINE RD STE 301
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City | KANSAS CITY
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State | MO
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Zip | 64114-1698
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Country | US
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Telephone | 636-222-0060
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JOSEPH C TUTERA
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Credential |
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Telephone | 816-444-0900
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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 |
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License Number State |
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