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General NPI Number Information
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NPI Number | 1972917789
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Entity Type | Organization
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Legal Business Name | LP MARIETTA II, LLC
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 26 TOWER RD NE
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City | MARIETTA
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State | GA
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Zip | 30060-6947
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Country | US
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Telephone | 770-422-8913
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Fax |
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Provider Business Mailing Address
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Address Line | 12201 BLUEGRASS PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40299-2361
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Country | US
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Telephone | 502-568-7800
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Fax | 502-259-0183
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Authorized Official
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Title or Position | CFO
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Name | MR. JOHN HARRISON
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Credential |
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Telephone | 502-568-7800
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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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