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General NPI Number Information
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NPI Number | 1073737185
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Entity Type | Organization
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Legal Business Name | RS EDEN INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1829 PORTLAND AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-1812
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Country | US
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Telephone | 612-872-9045
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Fax | 612-874-1471
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Provider Business Mailing Address
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Address Line | 1931 W BROADWAY AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55411-2400
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Country | US
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Telephone | 612-287-1600
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Fax | 612-287-1616
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAN CAIN
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Credential |
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Telephone | 612-287-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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