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General NPI Number Information
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NPI Number | 1063958247
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Entity Type | Organization
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Legal Business Name | ALWAYS BEST CARE
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 331 MAPLE STREET SUITE 2
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City | SAINT PAUL
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State | MN
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Zip | 55106
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Country | US
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Telephone | 612-251-4577
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Fax |
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Provider Business Mailing Address
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Address Line | 331 MAPLE ST SUITE 2
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City | SAINT PAUL
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State | MN
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Zip | 55106-5132
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Country | US
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Telephone | 651-774-9979
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUDY MAE GUSTAFSON
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Credential |
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Telephone | 651-774-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 377579
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License Number State | MN
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