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General NPI Number Information
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NPI Number | 1700981511
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Entity Type | Organization
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Legal Business Name | SANDPIPER BAY HEALTH CENTER LLC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5808 W. 8TH STREET
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City | WICHITA
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State | KS
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Zip | 67212
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Country | US
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Telephone | 316-945-3606
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Fax | 316-260-9544
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Provider Business Mailing Address
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Address Line | 5808 W. 8TH STREET
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City | WICHITA
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State | KS
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Zip | 67212
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Country | US
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Telephone | 316-945-3606
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Fax | 316-260-9544
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. ROBERT WAYNE REDMAN
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Credential |
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Telephone | 816-415-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | KS
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