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General NPI Number Information
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NPI Number | 1134494560
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Entity Type | Organization
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Legal Business Name | ADVANCE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 4439 SURREY LN NW
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City | ROCHESTER
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State | MN
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Zip | 55901-3736
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Country | US
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Telephone | 507-206-0384
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Fax |
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Provider Business Mailing Address
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Address Line | 4439 SURREY LN NW
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City | ROCHESTER
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State | MN
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Zip | 55901-3736
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Country | US
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Telephone | 507-206-0384
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDINUR H ABDI
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Credential |
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Telephone | 507-206-0384
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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 | 251E0000X
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License Number State | MN
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