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General NPI Number Information
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NPI Number | 1124025812
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEMORIAL HOSPITAL & NURSING HOME
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 800 MEMORIAL DR
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City | SPRING VALLEY
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State | MN
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Zip | 55975-1024
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Country | US
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Telephone | 507-346-7381
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Fax | 507-346-7619
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Provider Business Mailing Address
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Address Line | 800 MEMORIAL DR
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City | SPRING VALLEY
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State | MN
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Zip | 55975-1024
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Country | US
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Telephone | 507-346-7381
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Fax | 507-346-7619
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PENNY SOLBERG
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Credential | MBA
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Telephone | 507-346-7381
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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 | MN
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