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General NPI Number Information
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NPI Number | 1275060915
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Entity Type | Organization
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Legal Business Name | MCCRITE PLAZA AT BRIARCLIFF, LLC
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 1201 TULLISON RD
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City | KANSAS CITY
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State | MO
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Zip | 64116-2639
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Country | US
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Telephone | 816-888-7930
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Fax | 816-437-9365
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Provider Business Mailing Address
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Address Line | 1610 SW 37TH ST
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City | TOPEKA
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State | KS
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Zip | 66611-2564
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Country | US
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Telephone | 785-267-2960
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Fax | 785-267-0138
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PATRICK I MCCRITE
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Credential |
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Telephone | 785-267-2960
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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 | 044379
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License Number State | MO
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Taxonomy #2
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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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