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General NPI Number Information
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NPI Number | 1134409667
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Entity Type | Organization
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Legal Business Name | HOME LAB PARTNERS INC
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 2626 E 82ND ST SUITE 101
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1300
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Country | US
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Telephone | 952-842-9000
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Fax | 952-842-9001
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Provider Business Mailing Address
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Address Line | 2626 E 82ND ST SUITE 101
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1300
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Country | US
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Telephone | 952-842-9000
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Fax | 952-842-9001
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Authorized Official
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Title or Position | CEO
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Name | MS. KATHLEEN J VALUSEK
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Credential | MSN, MPH
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Telephone | 952-842-9000
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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 |
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License Number State |
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