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General NPI Number Information
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NPI Number | 1033421052
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Entity Type | Organization
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Legal Business Name | HIGHLAND SENIOR LIVING OF LITTLE FALLS, LLC
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Dates
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Enumeration Date | 07/07/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 1012 3RD AVE NE
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City | LITTLE FALLS
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State | MN
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Zip | 56345-2919
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Country | US
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Telephone | 320-292-4943
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 3RD AVE NE
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City | LITTLE FALLS
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State | MN
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Zip | 56345-2919
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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 | PRESIDENT
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Name | HOWARD GROFF
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Credential |
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Telephone | 952-888-3459
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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 |
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License Number State | MN
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