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General NPI Number Information
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NPI Number | 1639494446
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Entity Type | Organization
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Legal Business Name | THE QUEEN'S SPECIALTIES CARE CENTER
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 11301 COLORADO AVE 125
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City | KANSAS CITY
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State | MO
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Zip | 64137-2892
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Country | US
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Telephone | 573-931-3262
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Fax | 816-285-9100
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Provider Business Mailing Address
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Address Line | 11301 COLORADO AVE 125
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City | KANSAS CITY
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State | MO
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Zip | 64137-2892
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Country | US
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Telephone | 573-931-3262
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Fax | 816-285-9100
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE/OWNER
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Name | REGINA TURNER
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Credential | LPN
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Telephone | 573-931-3262
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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 |
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License Number State |
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