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General NPI Number Information
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NPI Number | 1013252907
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Entity Type | Organization
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Legal Business Name | STABILITY HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 9021 STANLEN RD
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-2349
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Country | US
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Telephone | 612-913-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 9021 STANLEN RD
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-2349
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Country | US
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Telephone | 612-309-6414
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXIS ELIZABETH HEDDING
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Credential |
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Telephone | 612-913-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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