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General NPI Number Information
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NPI Number | 1861489015
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Entity Type | Organization
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Legal Business Name | BLC - RAMSEY, LLC
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 1611 27TH ST
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City | DES MOINES
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State | IA
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Zip | 50310-5400
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Country | US
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Telephone | 515-274-3162
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Fax |
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Provider Business Mailing Address
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Address Line | 330 N WABASH AVE SUITE 1400
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City | CHICAGO
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State | IL
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Zip | 60611-3586
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Country | US
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Telephone | 312-977-3700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN P RIJOS
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Credential |
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Telephone | 312-977-3700
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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 | S0052
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 770308
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License Number State | IA
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