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General NPI Number Information
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NPI Number | 1538292792
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Entity Type | Organization
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Legal Business Name | GUEST HOME ESTATES II
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1202 S PLUMMER AVE
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City | CHANUTE
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State | KS
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Zip | 66720-2512
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Country | US
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Telephone | 620-431-9509
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Fax | 620-431-0471
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Provider Business Mailing Address
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Address Line | 1202 S PLUMMER AVE
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City | CHANUTE
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State | KS
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Zip | 66720-2512
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Country | US
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Telephone | 620-431-9509
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Fax | 620-431-0471
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Authorized Official
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Title or Position | OPERATOR
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Name | ANNETTE EMERSON
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Credential |
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Telephone | 620-431-9509
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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 | N-067-009
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License Number State | KS
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