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General NPI Number Information
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NPI Number | 1821092875
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Entity Type | Organization
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Legal Business Name | BENEDICTINE LIVING COMMUNITY OF ST. PETER
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1907 KLEIN ST
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City | SAINT PETER
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State | MN
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Zip | 56082-5801
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Country | US
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Telephone | 507-934-2203
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Fax | 507-934-8392
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Provider Business Mailing Address
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Address Line | 627 PARK ROW
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City | ST PETER
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State | MN
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Zip | 56082-1336
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Country | US
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Telephone | 507-934-2203
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Fax | 507-931-7333
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | TERESA M HILDEBRANDT
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Credential |
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Telephone | 507-934-2203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 327205
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License Number State | MN
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