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General NPI Number Information
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NPI Number | 1689392276
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Entity Type | Organization
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Legal Business Name | ROCOCO HEALTHCARE SERVICES
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 741 N NELSON RD
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City | OLATHE
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State | KS
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Zip | 66061-2978
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Country | US
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Telephone | 913-544-4096
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Fax |
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Provider Business Mailing Address
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Address Line | 11518 S PARKWOOD DR
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City | OLATHE
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State | KS
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Zip | 66061-6434
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Country | US
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Telephone | 913-544-4096
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BELKIS TCHAKOTHE BESONG
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Credential | LNHA
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Telephone | 913-544-4096
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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 |
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License Number State |
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