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General NPI Number Information
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NPI Number | 1174155758
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Entity Type | Organization
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Legal Business Name | CAREGIVER STAFFING SOLUTIONS LLC
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 3300 COUNTY ROAD 10 STE 120G
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City | BROOKLYN CENTER
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State | MN
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Zip | 55429-3064
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Country | US
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Telephone | 763-447-9465
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Fax |
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Provider Business Mailing Address
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Address Line | 6731 MARLOWE AVE NE
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City | OTSEGO
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State | MN
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Zip | 55330-7450
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Country | US
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Telephone | 763-447-9465
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EBOU JAFUNEH
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Credential |
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Telephone | 763-447-9465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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