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General NPI Number Information
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NPI Number | 1336685932
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Entity Type | Organization
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Legal Business Name | ST ANTHONYS SENIOR CARE HOSPITAL, LLC
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 2114 N 127TH ST E SUITE 100
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City | WICHITA
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State | KS
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Zip | 67206-3003
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Country | US
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Telephone | 316-500-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 W MAPLE ST STE 5
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City | WICHITA
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State | KS
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Zip | 67209-3135
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Country | US
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Telephone | 316-448-0850
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Fax | 316-448-0855
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Authorized Official
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Title or Position | CFO
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Name | BRENDA MARIE KRUSE
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Credential |
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Telephone | 316-448-0850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State | KS
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