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General NPI Number Information
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NPI Number | 1467743021
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Entity Type | Organization
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Legal Business Name | THE KENSINGTON HASTINGS LLC
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 233 N HASTINGS AVE
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City | HASTINGS
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State | NE
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Zip | 68901-5168
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Country | US
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Telephone | 402-461-3149
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Fax | 402-461-4513
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Provider Business Mailing Address
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Address Line | 233 N HASTINGS AVE
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City | HASTINGS
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State | NE
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Zip | 68901-5168
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Country | US
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Telephone | 402-461-3149
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Fax | 402-461-4513
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHARON BRECKNER
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Credential |
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Telephone | 402-461-3149
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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 | ALF239
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License Number State | NE
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