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General NPI Number Information
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NPI Number | 1447539416
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Entity Type | Organization
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Legal Business Name | BROOKDALE SENIOR LIVING
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 3121 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60657-4945
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Country | US
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Telephone | 773-404-9800
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Fax | 773-404-7898
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Provider Business Mailing Address
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Address Line | 3121 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60657-4945
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Country | US
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Telephone | 773-404-9800
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Fax | 773-404-7898
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Authorized Official
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Title or Position | DIRECTOR OF SALES AND MARKETING
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Name | KRISTINA LISZKIEWICZ
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Credential |
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Telephone | 773-832-0886
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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 | 5101776
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License Number State | IL
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