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General NPI Number Information
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NPI Number | 1992866032
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Entity Type | Organization
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Legal Business Name | VOA CARE CENTERS, MINNESOTA
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 1900 SHERREN AVE E
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City | SAINT PAUL
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State | MN
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Zip | 55109-2803
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Country | US
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Telephone | 651-770-1365
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Fax | 651-770-1646
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Provider Business Mailing Address
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Address Line | 7485 OFFICE RIDGE CIR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3690
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Country | US
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Telephone | 952-941-0305
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Fax | 952-941-0428
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Authorized Official
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Title or Position | ASSISTANT SECRETARY, TREASURER
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Name | NANCY GAVIN
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Credential |
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Telephone | 952-941-0305
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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 | 330192
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License Number State | MN
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