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General NPI Number Information
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NPI Number | 1104464668
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Entity Type | Organization
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Legal Business Name | A TO Z CARE LLC
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 2999 COUNTY ROAD 42 W STE 200
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City | BURNSVILLE
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State | MN
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Zip | 55306-6995
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Country | US
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Telephone | 925-808-6961
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Fax | 952-808-6813
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Provider Business Mailing Address
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Address Line | 2999 COUNTY ROAD 42 W STE 200
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City | BURNSVILLE
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State | MN
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Zip | 55306-6995
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Country | US
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Telephone | 925-808-6961
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Fax | 952-808-6813
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIC ROLF LARSON
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Credential |
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Telephone | 925-808-6919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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