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General NPI Number Information
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NPI Number | 1134123532
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Entity Type | Organization
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Legal Business Name | SAINT ANNE OF WINONA
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 1347 W BROADWAY ST
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City | WINONA
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State | MN
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Zip | 55987-2327
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Country | US
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Telephone | 507-454-3621
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Fax | 507-452-2556
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Provider Business Mailing Address
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Address Line | 1347 W BROADWAY ST
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City | WINONA
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State | MN
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Zip | 55987-2327
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Country | US
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Telephone | 507-454-3621
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Fax | 507-452-2556
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Authorized Official
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Title or Position | ADMINISTRATOR, CEO
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Name | CAROL EHLINGER
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Credential |
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Telephone | 507-205-6208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 328422
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License Number State | MN
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