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General NPI Number Information
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NPI Number | 1114817855
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Entity Type | Organization
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Legal Business Name | RISE WITH DIGNITY
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 14268 IRVING AVE S APT 147
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City | BURNSVILLE
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State | MN
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Zip | 55306-6123
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Country | US
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Telephone | 952-657-0320
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Fax |
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Provider Business Mailing Address
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Address Line | 14268 IRVING AVE S APT 147
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City | BURNSVILLE
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State | MN
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Zip | 55306-6123
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Country | US
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Telephone | 952-657-0320
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Fax |
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Authorized Official
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Title or Position | FOUNDER & DIRECTOR
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Name | AYUB ABDISALAN ADEN
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Credential |
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Telephone | 952-657-0320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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