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General NPI Number Information
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NPI Number | 1558857508
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Entity Type | Organization
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Legal Business Name | LEXINGTON OPERATIONS, LLC
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 1811 RIDGEWAY DR
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City | LEXINGTON
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State | NE
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Zip | 68850-1188
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Country | US
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Telephone | 308-324-5490
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Fax | 308-324-5181
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Provider Business Mailing Address
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Address Line | 1811 RIDGEWAY DR
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City | LEXINGTON
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State | NE
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Zip | 68850-1188
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Country | US
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Telephone | 308-324-5490
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Fax | 308-324-5181
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Authorized Official
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Title or Position | PARALEGAL
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Name | CHRIS OLSON
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Credential |
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Telephone | 503-783-2490
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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 | ALF125
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License Number State | NE
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