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General NPI Number Information
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NPI Number | 1689397820
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Entity Type | Organization
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Legal Business Name | HOME PLUS OF KANSAS
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 254 S ROBIN RD
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City | WICHITA
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State | KS
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Zip | 67209-1429
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Country | US
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Telephone | 316-773-2277
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Fax | 316-773-7077
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Provider Business Mailing Address
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Address Line | 254 S ROBIN RD
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City | WICHITA
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State | KS
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Zip | 67209-1429
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Country | US
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Telephone | 316-773-2277
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Fax | 316-773-7077
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Authorized Official
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Title or Position | CEO
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Name | MR. ANTHONY C NDUNGU
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Credential | RN
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Telephone | 316-518-9982
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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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