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General NPI Number Information
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NPI Number | 1023266806
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Entity Type | Organization
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Legal Business Name | HEALTHMAX HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 2226 119TH AVE NE
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City | BLAINE
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State | MN
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Zip | 55449
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Country | US
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Telephone | 612-272-8118
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Fax | 612-435-6655
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Provider Business Mailing Address
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Address Line | 2226 119TH AVE NE
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City | BLAINE
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State | MN
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Zip | 55449-5440
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Country | US
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Telephone | 612-272-8118
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Fax | 612-435-6655
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Authorized Official
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Title or Position | OWNER /PRESIDENT
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Name | YOSSEPH B ISAAK
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Credential | MANAGER
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Telephone | 612-272-8118
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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 | 340074
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License Number State | MN
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