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General NPI Number Information
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NPI Number | 1770469868
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Entity Type | Organization
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Legal Business Name | LIFESPACE COMMUNITIES INC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 8100 HIGHWOOD DR
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City | BLOOMINGTON
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State | MN
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Zip | 55438-1006
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Country | US
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Telephone | 952-831-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 OLYMPUS BLVD STE 300
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City | DALLAS
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State | TX
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Zip | 75019-6292
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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 | CHIEF FINANCIAL OFFICER
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Name | NICHOLAS HARSHFIELD
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Credential |
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Telephone | 515-288-5805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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