MEDICARE: DUALE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1336944123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUALE INC

Provider Business Mailing Address
First Line	:	1167 15TH AVE SE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-4155
Country	:	US
Telephone Number	:	612-644-8831
Fax Number	:

Provider Business Practice Location Address
First Line	:	1167 15TH AVE SE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-4155
Country	:	US
Telephone Number	:	612-644-8831
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ISTAHIL ALI ABDI
Credential	:
Telephone Number	:	612-644-8831

Provider Enumeration Date	:	02/15/2025
Last Update Date	:	02/15/2025

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Directions to “DUALE INC ” Practice Location

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