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General NPI Number Information
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NPI Number | 1740009166
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Entity Type | Organization
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Legal Business Name | RAND RECOVERY HOMES, LLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 204 E FREMONT ST
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City | OWATONNA
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State | MN
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Zip | 55060-2435
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Country | US
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Telephone | 507-456-3215
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Fax |
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Provider Business Mailing Address
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Address Line | 865 25TH ST NE
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City | OWATONNA
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State | MN
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Zip | 55060-5192
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Country | US
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Telephone | 507-456-3215
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA RAND
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Credential |
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Telephone | 507-456-3215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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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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