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General NPI Number Information
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NPI Number | 1326135559
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Entity Type | Organization
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Legal Business Name | CAPITAL SENIOR LIVING PROPERTIES INC.
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 5380 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1391
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Country | US
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Telephone | 614-755-7591
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Fax | 614-755-7595
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Provider Business Mailing Address
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Address Line | 5380 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1391
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Country | US
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Telephone | 614-755-7591
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Fax | 614-755-7595
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CAROL ELLEN RUFF
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Credential |
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Telephone | 614-755-7591
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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 | 6003
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License Number State | OH
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