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NPI 1922748516

NPI 1922748516 : ECUMEN : MANKATO, MN

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General NPI Number Information
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    NPI Number           |    1922748516
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    Entity Type          |    Organization 
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    Legal Business Name  |    ECUMEN 
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Dates
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    Enumeration Date     |    03/31/2022
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    Last Update Date     |    04/22/2026
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Provider Practice Location Address
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    Address Line         |    718 MOUND AVE 
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    City                 |    MANKATO
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    State                |    MN
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    Zip                  |    56001-1626
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    Country              |    US
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    Telephone            |    73-454-5765
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    Fax                  |    507-385-4212
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Provider Business Mailing Address
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    Address Line         |    718 MOUND AVE 
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    City                 |    MANKATO
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    State                |    MN
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    Zip                  |    56001-1626
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    Country              |    US
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    Telephone            |    651-766-4375
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    Fax                  |    651-766-4310
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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        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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