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General NPI Number Information
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NPI Number | 1457529216
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Entity Type | Organization
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Legal Business Name | SZR EDINA ASSISTED LIVING OPCO, L.L.C.
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 7128 FRANCE AVE S
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City | EDINA
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State | MN
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Zip | 55435-4301
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Country | US
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Telephone | 952-927-8000
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Fax | 952-927-6400
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Provider Business Mailing Address
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Address Line | 7128 FRANCE AVE., S.
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City | EDINA
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State | MN
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Zip | 55435
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Country | US
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Telephone | 952-927-8000
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Fax | 952-927-6400
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Authorized Official
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Title or Position | ASSISTED LIVING COORDINATOR
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Name | CONNER CROUCH
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Credential |
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Telephone | 952-927-8000
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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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