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General NPI Number Information
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NPI Number | 1578990404
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Entity Type | Organization
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Legal Business Name | SNH SE TENANT TRS, INC
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 1125 N EDGE TRL
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City | VERONA
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State | WI
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Zip | 53593-2021
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Country | US
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Telephone | 608-848-5701
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Fax |
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Provider Business Mailing Address
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Address Line | 255 WASHINGTON ST 2 NEWTON PLACE
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City | NEWTON
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State | MA
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Zip | 02458-1637
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CHIEF OPERATING OFFICER
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Name | JENNIFER F MINTZER
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Credential |
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Telephone | 617-796-8350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #2
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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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