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General NPI Number Information
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NPI Number | 1376095471
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Entity Type | Organization
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Legal Business Name | SABRA RAMSEY TRS, LLC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 14401 NOWTHEN BLVD NW
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City | RAMSEY
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State | MN
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Zip | 55303
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Country | US
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Telephone | 612-615-9936
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Fax |
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Provider Business Mailing Address
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Address Line | 14401 NOWTHEN BLVD NW
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City | RAMSEY
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State | MN
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Zip | 55303
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Country | US
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Telephone | 612-615-9936
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED AGENT
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Name | JEROME E. FINIS
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Credential |
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Telephone | 312-837-0704
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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 | 31331
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License Number State | MN
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