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General NPI Number Information
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NPI Number | 1710009253
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11400 4TH ST N
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City | MINNETONKA
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State | MN
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Zip | 55343-3603
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Country | US
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Telephone | 952-933-1752
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Fax | 952-933-0730
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Provider Business Mailing Address
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Address Line | 7530 MARKET PLACE DR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3636
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Country | US
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Telephone | 952-941-0305
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Fax | 952-941-0428
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Authorized Official
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Title or Position | ASSISTANT SECRETARY, TREASURER
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Name | RON PATTERSON
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Credential |
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Telephone | 952-941-0305
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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 | 331597
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License Number State | MN
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