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General NPI Number Information
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NPI Number | 1477252252
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Entity Type | Organization
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Legal Business Name | THE JAMES INC ASSISTED LIVING
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 10040 NORD ROAD
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City | BLOOMINGTON
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State | MN
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Zip | 55437
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Country | US
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Telephone | 952-657-5663
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Fax | 952-831-3275
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Provider Business Mailing Address
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Address Line | 4533 NORMANDALE HIGHLANDS DRIVE
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City | BLOOMINGTON
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State | MN
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Zip | 55437
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Country | US
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Telephone | 952-831-4591
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Fax | 952-831-3275
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES IMASUEN
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Credential |
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Telephone | 612-481-7126
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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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