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General NPI Number Information
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NPI Number | 1497868061
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Entity Type | Organization
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Legal Business Name | ROLETTE COMMUNITY CARE CENTER, INC.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 804 STATE ST.
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City | ROLETTE
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State | ND
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Zip | 58366
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Country | US
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Telephone | 701-246-3786
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Fax | 701-246-3422
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Provider Business Mailing Address
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Address Line | 804 STATE ST.
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City | ROLETTE
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State | ND
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Zip | 58366
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Country | US
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Telephone | 701-246-3786
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Fax | 701-246-3422
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Authorized Official
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Title or Position | CFO
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Name | KATHY MORROW
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Credential |
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Telephone | 701-246-3786
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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 | ND
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Taxonomy #2
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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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