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General NPI Number Information
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NPI Number | 1265958839
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Entity Type | Organization
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Legal Business Name | SNH SE TENANT TRS, INC
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 2480 N PARK RD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3744
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Country | US
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Telephone | 954-989-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 2480 NORTH PARK ROAD
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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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 | PRESIDENT & CHIEF OPERATING OFFICER
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Name | JENNIFER F MINTZER
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Credential |
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Telephone | 617-796-8350
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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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