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General NPI Number Information
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NPI Number | 1144767609
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Entity Type | Organization
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Legal Business Name | RX TEAM HOME HEALTH CARE
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 1821 UNIVERSITY AVE W STE N188
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City | SAINT PAUL
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State | MN
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Zip | 55104-2870
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Country | US
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Telephone | 612-808-8891
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 UNIVERSITY AVE W STE N188
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City | SAINT PAUL
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State | MN
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Zip | 55104-2870
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Country | US
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Telephone | 612-808-8891
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ALI HAGI AWEIS ABDULLAHI SR.
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Credential |
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Telephone | 612-808-8891
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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 | MN
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