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General NPI Number Information
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NPI Number | 1437192275
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Entity Type | Organization
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Legal Business Name | ST. ANTHONY NURSING HOME LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 3700 FOSS RD
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City | MINNEAPOLIS
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State | MN
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Zip | 55421-4512
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Country | US
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Telephone | 612-913-5304
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Fax | 612-788-0104
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Provider Business Mailing Address
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Address Line | 1107 HAZELTINE BLVD SUITE 200
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City | CHASKA
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State | MN
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Zip | 55318-1009
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Country | US
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Telephone | 952-361-8000
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Fax | 952-361-8058
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JAMES A WEICHERT
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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 | 329079
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 328175
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License Number State | MN
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