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General NPI Number Information
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NPI Number | 1568456234
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Entity Type | Organization
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Legal Business Name | SOUTHVIEW ACRES HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 2000 OAKDALE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55118-4662
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Country | US
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Telephone | 651-451-1821
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Fax | 651-451-9538
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Provider Business Mailing Address
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Address Line | 2000 OAKDALE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55118-4662
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Country | US
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Telephone | 651-451-1821
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Fax | 651-451-9538
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHELLE A. WEISS
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Credential |
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Telephone | 651-260-5435
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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 | 327171
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License Number State | MN
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