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General NPI Number Information
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NPI Number | 1053692129
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Entity Type | Organization
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Legal Business Name | AFFIRMATIONS HOME CARE
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 1510 6TH ST NE
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City | STAPLES
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State | MN
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Zip | 56479-3246
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Country | US
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Telephone | 612-281-5235
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 6TH ST NE
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City | STAPLES
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State | MN
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Zip | 56479-3246
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Country | US
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Telephone | 612-281-5235
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | KAMI WALKER
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Credential | RN, MHA, BSN, PHN, C
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Telephone | 612-281-5235
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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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