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General NPI Number Information
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NPI Number | 1972917417
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Entity Type | Organization
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Legal Business Name | LAKEWOOD MERIDIAN LP
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 1805 S BALSAM ST
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City | LAKEWOOD
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State | CO
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Zip | 80232-6700
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Country | US
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Telephone | 303-980-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 6737 W WASHINGTON ST SUITE 2300
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City | MILWAUKEE
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State | WI
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Zip | 53214-5647
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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 | CFO
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Name | MARK OHLENDORF
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Credential |
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Telephone | 414-918-5000
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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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