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General NPI Number Information
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NPI Number | 1124343520
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Entity Type | Organization
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Legal Business Name | MAJCH HOME CARE LLP
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 11247 69TH ST NE
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City | ALBERTVILLE
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State | MN
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Zip | 55301-4576
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Country | US
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Telephone | 763-607-5963
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Fax |
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Provider Business Mailing Address
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Address Line | 11247 69TH ST NE
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City | ALBERTVILLE
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State | MN
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Zip | 55301-4576
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARTHUR P BIAH II
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Credential | RN, PHN
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Telephone | 763-607-5963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 348197
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License Number State | MN
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