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General NPI Number Information
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NPI Number | 1134357569
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Entity Type | Organization
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Legal Business Name | ROBBINSDALE REHAB AND CARE CTR
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 3130 GRIMES AVENUE NORTH
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City | ROBBINSDALE
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State | MN
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Zip | 55422
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Country | US
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Telephone | 736-450-2737
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 GRIMES AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422-3217
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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 | REGIONAL DIR OF REHAB
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Name | LISABETH MACKALL
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Credential |
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Telephone | 612-437-0213
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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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