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General NPI Number Information
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NPI Number | 1902571862
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Entity Type | Organization
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Legal Business Name | OXFORD MADISON HOUSE LLC
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 1120 N 1ST ST
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City | NORFOLK
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State | NE
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Zip | 68701-0904
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Country | US
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Telephone | 402-644-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 125 N MARKET ST STE 1230
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City | WICHITA
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State | KS
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Zip | 67202-1712
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Country | US
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Telephone | 316-201-3210
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | IRIS TURNER
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Credential |
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Telephone | 316-201-3210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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