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General NPI Number Information
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NPI Number | 1225898091
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Entity Type | Organization
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Legal Business Name | THE MAPLETON EUREKA LLC
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1820 E RIVER ST
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City | EUREKA
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State | KS
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Zip | 67045-2156
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Country | US
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Telephone | 316-500-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 738 W 2525 S
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City | SYRACUSE
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State | UT
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Zip | 84075-9183
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Country | US
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Telephone | 316-500-7403
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AARON N THORNOCK
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Credential |
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Telephone | 316-500-7403
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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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