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General NPI Number Information
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NPI Number | 1598956906
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Entity Type | Organization
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Legal Business Name | ADULT CARE HEALTH CENTER OF GREATER KANSAS CITY
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 414 REMINGTON PLAZA CT
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City | RAYMORE
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State | MO
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Zip | 64083-8599
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Country | US
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Telephone | 816-767-0925
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Fax | 816-761-1187
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Provider Business Mailing Address
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Address Line | 12127 BLUE RIDGE EXT SUIT C,H,I
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City | GRANDVIEW
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State | MO
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Zip | 64030-6404
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Country | US
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Telephone | 816-767-0925
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Fax | 816-331-6565
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. AISHA LADI WASHINGTON
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Credential | MS,RD,LD
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Telephone | 816-767-0925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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