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General NPI Number Information
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NPI Number | 1477697100
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Entity Type | Organization
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Legal Business Name | STEEPLE POINTE SENIOR LIVING COMMUNITY
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 625 CENTRAL AVE
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City | OSSEO
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State | MN
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Zip | 55369-1103
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Country | US
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Telephone | 763-425-4440
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Fax | 763-391-0747
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Provider Business Mailing Address
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Address Line | 625 CENTRAL AVE
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City | OSSEO
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State | MN
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Zip | 55369-1103
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Country | US
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Telephone | 763-425-4440
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Fax | 763-391-0747
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROBERTA GAY GUIDRY
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Credential | LSW, LNHA
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Telephone | 763-425-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MN
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