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General NPI Number Information
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NPI Number | 1972924736
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Entity Type | Organization
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Legal Business Name | AUGUSTANA CHAPEL VIEW HOMES, INC.
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Dates
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Enumeration Date | 12/21/2013
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 605 MINNETONKA MILLS RD
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City | HOPKINS
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State | MN
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Zip | 55343-7211
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Country | US
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Telephone | 612-238-5126
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 OHMS LN
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City | EDINA
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State | MN
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Zip | 55439-2142
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Country | US
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Telephone | 952-855-5041
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | SEELOCHANI STADTHERR
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Credential |
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Telephone | 952-855-5041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 361870
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License Number State | MN
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