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General NPI Number Information
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NPI Number | 1548268105
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Entity Type | Organization
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Legal Business Name | NORTHFIELD CARE CENTER, INC.
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 900 CANNON VALLEY DR
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City | NORTHFIELD
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State | MN
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Zip | 55057-1334
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Country | US
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Telephone | 507-645-9511
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Fax | 507-645-0117
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Provider Business Mailing Address
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Address Line | 900 CANNON VALLEY DR
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City | NORTHFIELD
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State | MN
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Zip | 55057-1334
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Country | US
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Telephone | 507-645-9511
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Fax | 507-645-0117
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | SCOTT BLUM
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Credential |
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Telephone | 507-664-3465
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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 | 327811
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License Number State | MN
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