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General NPI Number Information
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NPI Number | 1376820944
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Entity Type | Organization
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Legal Business Name | GOLDEN PLAINS REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 1202 E 23RD AVE
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City | HUTCHINSON
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State | KS
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Zip | 67502-5656
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Country | US
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Telephone | 316-669-9393
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Fax | 316-669-0817
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Provider Business Mailing Address
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Address Line | 2201 MAIN ST
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City | EVANSTON
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State | IL
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Zip | 60202-1519
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Country | US
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Telephone | 847-905-4000
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Fax | 847-905-4040
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM ROTHNER
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Credential |
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Telephone | 316-669-9393
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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 | KS
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