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General NPI Number Information
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NPI Number | 1487176160
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Entity Type | Organization
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Legal Business Name | LARKSFIELD PLACE RETIREMENT COMMUNITIES INC
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7373 E 29TH ST N
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City | WICHITA
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State | KS
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Zip | 67226-3405
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Country | US
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Telephone | 316-636-1000
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Fax | 316-636-4300
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Provider Business Mailing Address
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Address Line | 7373 E 29TH ST N
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City | WICHITA
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State | KS
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Zip | 67226-3405
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Country | US
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Telephone | 316-636-1000
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Fax | 316-636-4300
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Authorized Official
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Title or Position | CEO
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Name | ROBERT BLEVINS
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Credential |
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Telephone | 913-244-2753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | A087035
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License Number State | KS
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