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General NPI Number Information
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NPI Number | 1831492875
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Entity Type | Organization
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Legal Business Name | JOHN KNOX VILLAGE
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 110 S MAIN ST
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City | LANSING
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State | KS
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Zip | 66043-1504
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Country | US
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Telephone | 913-682-8805
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Fax |
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Provider Business Mailing Address
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Address Line | 400 NW MURRAY RD
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City | LEES SUMMIT
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State | MO
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Zip | 64081-1499
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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 | VP OF HEALTH SERVICES
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Name | RODNEY MCBRIDE
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Credential |
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Telephone | 816-347-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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