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General NPI Number Information
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NPI Number | 1326504028
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Entity Type | Organization
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Legal Business Name | ORCHARD GARDENS, LLC
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1600 S WOODLAWN BLVD
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City | WICHITA
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State | KS
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Zip | 67218-4728
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Country | US
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Telephone | 316-691-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 ANDERSON AVE
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City | MANHATTAN
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State | KS
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Zip | 66502-2903
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Country | US
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Telephone | 785-789-4750
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Fax | 785-789-4756
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM MATTHEW NOVOTNY
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Credential |
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Telephone | 785-789-4750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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