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General NPI Number Information
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NPI Number | 1780534396
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Entity Type | Organization
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Legal Business Name | ECUMEN SBC MONTICELLO PROPERTIES, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1301 E 7TH ST
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City | MONTICELLO
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State | MN
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Zip | 55362-8823
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Country | US
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Telephone | 763-295-4051
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Fax | 763-271-8338
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Provider Business Mailing Address
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Address Line | 3530 LEXINGTON AVE N
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City | SHOREVIEW
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State | MN
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Zip | 55126-8166
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Country | US
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Telephone | 651-766-4300
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Fax | 651-766-4479
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Authorized Official
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Title or Position | CFO
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Name | DOUGLAS HARRISON
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Credential |
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Telephone | 651-766-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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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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