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General NPI Number Information
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NPI Number | 1447203658
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Entity Type | Organization
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Legal Business Name | MARIAN HOME-URSULINE SISTERS
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3105 LEXINGTON RD BUILDING 2
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City | LOUISVILLE
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State | KY
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Zip | 40206-3061
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Country | US
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Telephone | 502-896-3909
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Fax | 502-515-7517
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Provider Business Mailing Address
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Address Line | 3105 LEXINGTON RD BUILDING 2
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City | LOUISVILLE
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State | KY
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Zip | 40206-3061
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Country | US
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Telephone | 502-896-3909
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Fax | 502-515-7517
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KIM THIENEMAN
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Credential | LNHA
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Telephone | 502-896-3924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100482
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License Number State | KY
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