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General NPI Number Information
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NPI Number | 1275174393
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Entity Type | Organization
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Legal Business Name | SHAWNEE HEALTH & REHAB LLC
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 13509 W 67TH ST
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City | SHAWNEE
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State | KS
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Zip | 66216-2300
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Country | US
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Telephone | 816-335-7438
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Fax |
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Provider Business Mailing Address
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Address Line | 13509 W 67TH ST
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City | SHAWNEE
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State | KS
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Zip | 66216-2300
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Country | US
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Telephone | 816-335-7438
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING & OPERATIONS
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Name | CATHY MARTIN
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Credential |
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Telephone | 816-335-7438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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