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General NPI Number Information
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NPI Number | 1043897523
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Entity Type | Organization
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Legal Business Name | CARESTONE SERVICES LLC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 7655 WOODLAWN DR APT 305
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City | SAINT PAUL
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State | MN
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Zip | 55112-4065
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Country | US
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Telephone | 215-934-8047
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Fax | 763-432-6527
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Provider Business Mailing Address
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Address Line | 7655 WOODLAWN DR APT 305
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City | SAINT PAUL
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State | MN
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Zip | 55112-4065
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Country | US
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Telephone | 215-934-8047
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Fax | 763-432-6527
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. SEH MORRIS BROWN
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Credential | MPA
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Telephone | 215-934-8047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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