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General NPI Number Information
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NPI Number | 1992995419
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Entity Type | Organization
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Legal Business Name | KENSINGTON OPERATOR, LLC
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 613 N. MAIN ST.
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City | KENSINGTON
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State | KS
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Zip | 66951-8000
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Country | US
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Telephone | 785-476-2623
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Fax | 785-476-2620
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Provider Business Mailing Address
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Address Line | 613 N. MAIN ST.
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City | KENSINGTON
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State | KS
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Zip | 66951-8000
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Country | US
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Telephone | 785-476-2623
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Fax | 785-476-2620
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Authorized Official
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Title or Position | CEO
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Name | MR. STUART LINDEMAN
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Credential |
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Telephone | 813-440-8345
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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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