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General NPI Number Information
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NPI Number | 1326899436
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Entity Type | Organization
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Legal Business Name | NXM MARYSVILLE OPERATOR LLC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 311 PROFESSIONAL PKWY
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City | MARYSVILLE
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State | OH
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Zip | 43040-7118
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Country | US
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Telephone | 937-303-5033
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 MARKET ST STE 200
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City | DENVER
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State | CO
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Zip | 80202-2679
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILL BARKLOW
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Credential |
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Telephone | 303-856-9271
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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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