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General NPI Number Information
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NPI Number | 1801015763
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Entity Type | Organization
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Legal Business Name | AFTERCAE ASSISTES LIVING. LLC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 6301 ROCKHILL RD STE 100
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City | KANSAS CITY
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State | MO
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Zip | 64131-1124
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Country | US
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Telephone | 816-444-5006
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Fax | 816-923-7134
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Provider Business Mailing Address
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Address Line | 6301 ROCKHILL RD STE 100
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City | KANSAS CITY
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State | MO
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Zip | 64131-1124
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Country | US
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Telephone | 816-444-5006
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Fax | 816-923-7134
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES LEE JOHNSON
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Credential |
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Telephone | 816-444-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 286041405
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 200370840A
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 266041409
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License Number State | MO
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