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General NPI Number Information
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NPI Number | 1821144098
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Entity Type | Organization
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Legal Business Name | BSLC II
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 8300 NW BARRY RD
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City | KANSAS CITY
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State | MO
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Zip | 64153-1634
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Country | US
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Telephone | 816-584-3200
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Fax | 816-584-3201
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Provider Business Mailing Address
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Address Line | 8300 NW BARRY RD
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City | KANSAS CITY
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State | MO
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Zip | 64153-1634
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Country | US
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Telephone | 816-584-3200
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Fax | 816-584-3201
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | AUSTIN HARBACH
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Credential |
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Telephone | 719-650-7757
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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 | 030852
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License Number State | MO
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