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General NPI Number Information
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NPI Number | 1235868076
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Entity Type | Organization
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Legal Business Name | CEDAR HEART HOMES, INC.
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 551 2ND AVE E
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City | FRANKLIN
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State | MN
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Zip | 55333
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Country | US
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Telephone | 507-430-0632
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 325
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City | FRANKLIN
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State | MN
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Zip | 55333-0325
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Country | US
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Telephone | 507-430-0632
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | DR. DARIN MICHAEL PRESCOTT
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Credential | DNP, MBA, RN
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Telephone | 507-430-0632
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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 |
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