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General NPI Number Information
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NPI Number | 1144090184
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Entity Type | Organization
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Legal Business Name | ASSURED WELLNESS LLC
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 3356 SHERMAN CT STE 103
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City | EAGAN
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State | MN
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Zip | 55121-5001
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Country | US
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Telephone | 651-785-7970
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Fax | 651-450-8808
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Provider Business Mailing Address
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Address Line | 468 TOWER ST
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City | SAINT PAUL
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State | MN
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Zip | 55119-4031
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Country | US
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Telephone | 651-336-9099
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Fax | 651-450-8808
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. LINDA IFEYINWA AMAIKWU-RUSHING
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Credential | DNP
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Telephone | 651-785-7970
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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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