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General NPI Number Information
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NPI Number | 1215702907
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Entity Type | Organization
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Legal Business Name | ANEW HEALTHCARE OPERATIONS - SARCOXIE, LLC
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 1505 MINER ST
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City | SARCOXIE
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State | MO
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Zip | 64862-9211
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Country | US
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Telephone | 417-548-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 314 NW 11TH ST
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-3676
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Country | US
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Telephone | 816-622-1017
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | ADAM CONDER
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Credential |
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Telephone | 816-830-8969
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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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