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General NPI Number Information
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NPI Number | 1346053865
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Entity Type | Organization
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Legal Business Name | STONEHAVEN ALF, LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1000 STATION TRL
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City | EAGAN
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State | MN
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Zip | 55123-3101
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Country | US
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Telephone | 651-686-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 HAZELTINE BLVD STE 200
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City | CHASKA
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State | MN
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Zip | 55318-1070
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Country | US
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Telephone | 952-361-8000
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | RANDALL BENSON
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Credential |
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Telephone | 952-361-8000
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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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