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General NPI Number Information
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NPI Number | 1073405247
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Entity Type | Organization
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Legal Business Name | ACCESSIBLEHEARTSCARE LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 726 JEFFERSON ST
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City | ANOKA
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State | MN
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Zip | 55303-2615
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Country | US
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Telephone | 763-614-0162
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Fax | 612-314-8260
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Provider Business Mailing Address
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Address Line | 726 JEFFERSON ST
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City | ANOKA
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State | MN
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Zip | 55303-2615
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Country | US
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Telephone | 763-614-0162
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Fax | 612-314-8260
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Authorized Official
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Title or Position | LICENSED ASSISTED LIVING DIRECTOR
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Name | RACHAEL KANYUGI
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Credential | RN
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Telephone | 763-614-0162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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