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General NPI Number Information
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NPI Number | 1447355730
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Entity Type | Organization
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Legal Business Name | OAKLAND HEIGHTS ASSISTED LIVING
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 205 S ENGDAHL AVE
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City | OAKLAND
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State | NE
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Zip | 68045-1434
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Country | US
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Telephone | 402-685-5683
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Fax | 402-685-5684
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Provider Business Mailing Address
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Address Line | 207 S ENGDAHL AVE
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City | OAKLAND
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State | NE
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Zip | 68045-1419
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Country | US
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Telephone | 402-685-5683
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Fax | 402-685-5684
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Authorized Official
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Title or Position | MAYOR OF OAKLAND, NE
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Name | HARRY P GOODRICH
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Credential |
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Telephone | 402-685-5683
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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 | ALF 119
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License Number State | NE
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