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General NPI Number Information
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NPI Number | 1467473272
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Entity Type | Organization
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Legal Business Name | SAMARITAN BETHANY INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 24 8TH ST NW
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City | ROCHESTER
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State | MN
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Zip | 55901-6817
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Country | US
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Telephone | 507-289-5042
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Fax | 507-289-6545
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Provider Business Mailing Address
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Address Line | 24 8TH ST NW
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City | ROCHESTER
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State | MN
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Zip | 55901-6817
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Country | US
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Telephone | 507-289-5042
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Fax | 507-289-6545
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Authorized Official
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Title or Position | CO-MISSION LEADER
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Name | MRS. KYLA BERG
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Credential |
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Telephone | 507-289-5042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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