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General NPI Number Information
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NPI Number | 1710129887
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Entity Type | Organization
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Legal Business Name | BROOKDALE SENIOR LIVING COMMUNITIES INC
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 2300 CANFIELD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-2980
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Country | US
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Telephone | 330-793-0085
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Fax | 330-793-8591
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Provider Business Mailing Address
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Address Line | 2300 CANFIELD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-2980
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Country | US
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Telephone | 330-793-0085
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Fax | 330-793-8591
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | MR. JOHN P RIJOS
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Credential |
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Telephone | 312-977-3700
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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 | 5433
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License Number State | OH
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