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General NPI Number Information
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NPI Number | 1730507658
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Entity Type | Organization
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Legal Business Name | UNITED SENIOR PROPERTIES OF SEMINOLE, LLC
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Dates
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Enumeration Date | 03/29/2014
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Last Update Date | 03/29/2014
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Provider Practice Location Address
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Address Line | 2207 WEST WRANGLER BLVD
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City | SEMINOLE
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State | OK
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Zip | 74868
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Country | US
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Telephone | 405-382-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 2207 WEST WRANGLER BLVD
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City | SEMINOLE
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State | OK
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Zip | 74868
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | PAUL THOMA
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Credential |
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Telephone | 913-492-7800
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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 | AI6701
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License Number State | OK
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