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General NPI Number Information
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NPI Number | 1063179976
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Entity Type | Organization
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Legal Business Name | D&L CONSTRUCTION LLC
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 21223 ILAVISTA WAY
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City | LAKEVILLE
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State | MN
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Zip | 55044-1903
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Country | US
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Telephone | 952-529-6707
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Fax |
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Provider Business Mailing Address
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Address Line | 21223 ILAVISTA WAY
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City | LAKEVILLE
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State | MN
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Zip | 55044-1903
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Country | US
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Telephone | 952-529-6707
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMIE RICHARD LETCHER
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Credential |
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Telephone | 952-529-6707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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