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General NPI Number Information
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NPI Number | 1447938295
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Entity Type | Organization
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Legal Business Name | BURNSVILLE CAREFREE LIVING
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 600 E NICOLLET BLVD
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City | BURNSVILLE
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State | MN
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Zip | 55337-6739
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Country | US
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Telephone | 952-892-5559
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Fax | 952-892-1585
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Provider Business Mailing Address
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Address Line | 6205 CROSSMAN LN
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-1852
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Country | US
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Telephone | 651-451-0569
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT OF OPERATI
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Name | MARILYN HANSON HANSON
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Credential |
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Telephone | 651-451-0569
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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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