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General NPI Number Information
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NPI Number | 1821736943
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Entity Type | Organization
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Legal Business Name | SENEX OF HEMINGFORD, LLC
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 605 DONALD AVE
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City | HEMINGFORD
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State | NE
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Zip | 69348-8205
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Country | US
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Telephone | 308-487-3301
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Fax |
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Provider Business Mailing Address
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Address Line | 3440 YOUNGFIELD ST # 358
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-5245
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Country | US
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Telephone | 308-487-3301
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPS
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Name | MR. MITCHELL J FRIEDMAN
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Credential |
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Telephone | 303-641-2154
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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 |
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