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General NPI Number Information
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NPI Number | 1609202548
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Entity Type | Organization
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Legal Business Name | A NEW DAY AT HOME SUNFLOWER HOUSE
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 10540 BARKLEY ST SUITE 205
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City | OVERLAND PARK
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State | KS
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Zip | 66212-1811
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Country | US
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Telephone | 913-440-0204
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Fax |
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Provider Business Mailing Address
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Address Line | 10540 BARKLEY ST SUITE 205
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City | OVERLAND PARK
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State | KS
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Zip | 66212-1811
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | NORMAN GRANT
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Credential |
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Telephone | 913-440-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | B046052
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License Number State | KS
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