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General NPI Number Information
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NPI Number | 1093061483
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Entity Type | Organization
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Legal Business Name | CARE FOR LESS INC
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 970 BURR ST
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City | SAINT PAUL
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State | MN
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Zip | 55130-3906
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Country | US
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Telephone | 763-291-8167
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Fax | 952-929-1015
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Provider Business Mailing Address
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Address Line | 5600 W LAKE ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-2107
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Country | US
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Telephone | 763-291-8167
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Fax | 952-929-1015
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEMAL ABDULLA HASSEN
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Credential |
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Telephone | 763-291-8167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 357663
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License Number State | MN
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