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General NPI Number Information
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NPI Number | 1861167256
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Entity Type | Organization
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Legal Business Name | CLAY CENTER LIVING, LLC
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 715 LIBERTY ST
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City | CLAY CENTER
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State | KS
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Zip | 67432-1528
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Country | US
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Telephone | 785-632-5696
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 ANDERSON AVE
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City | MANHATTAN
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State | KS
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Zip | 66502-2967
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Country | US
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Telephone | 785-789-4750
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Fax | 785-789-4756
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM M NOVOTNY
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Credential |
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Telephone | 785-313-0946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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