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General NPI Number Information
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NPI Number | 1356291975
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Entity Type | Organization
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Legal Business Name | ECUMEN SBC ST. CLOUD PROPERTIES, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1980 15TH AVE SE
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City | SAINT CLOUD
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State | MN
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Zip | 56304-2380
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Country | US
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Telephone | 320-252-0010
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Fax | 320-200-3261
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Provider Business Mailing Address
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Address Line | 3530 LEXINGTON AVE N
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City | SAINT PAUL
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State | MN
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Zip | 55126-8166
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Country | US
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Telephone | 651-766-4300
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DOUGLAS HARRISON
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Credential |
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Telephone | 651-766-4300
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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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