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General NPI Number Information
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NPI Number | 1124289038
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Entity Type | Organization
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Legal Business Name | HIGHLAND MANOR, INC
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 1314 8TH STREET NORTH
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City | NEW ULM
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State | MN
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Zip | 56073
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Country | US
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Telephone | 507-233-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 8TH STREET NORTH
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City | NEW ULM
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State | MN
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Zip | 56073
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Country | US
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Telephone | 507-233-0800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. CANDAS SCHOUVIELLER
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Credential |
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Telephone | 507-233-0804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 340073
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License Number State | MN
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