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General NPI Number Information
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NPI Number | 1629915145
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Entity Type | Organization
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Legal Business Name | THE WATKINS HOUSE
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 341 4TH ST N
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City | WATKINS
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State | MN
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Zip | 55389-1004
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Country | US
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Telephone | 763-300-7875
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Fax | 763-201-5991
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Provider Business Mailing Address
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Address Line | PO BOX 1160
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City | MINNETONKA
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State | MN
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Zip | 55345-0160
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Country | US
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Telephone |
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Fax | 763-201-5991
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | STEPHANIE FRYER
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Credential | LALD
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Telephone | 763-300-7875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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