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General NPI Number Information
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NPI Number | 1639727357
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Entity Type | Organization
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Legal Business Name | SNH LONGHORN TENANT LLC
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 120 CROSSPOINT
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City | BOERNE
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State | TX
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Zip | 78006-3102
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Country | US
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Telephone | 830-249-9817
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Fax | 830-249-0576
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Provider Business Mailing Address
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Address Line | 255 WASHINGTON ST STE 300
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City | NEWTON
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State | MA
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Zip | 02458-1634
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Country | US
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Telephone | 617-796-8350
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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 | 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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