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General NPI Number Information
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NPI Number | 1154933232
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Entity Type | Organization
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Legal Business Name | MIDWEST CAREGIVERS LLP
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 1870 50TH ST E STE 7
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-1270
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Country | US
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Telephone | 651-237-4057
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Fax |
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Provider Business Mailing Address
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Address Line | 8023 W 110TH ST
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City | BLOOMINGTON
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State | MN
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Zip | 55438-2274
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Country | US
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Telephone | 763-443-1175
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. DOUGLAS MEYERS
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Credential |
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Telephone | 763-443-1175
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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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