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General NPI Number Information
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NPI Number | 1184335903
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Entity Type | Organization
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Legal Business Name | TRIPLE A NURSING CARE GROUP LLC
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 2230 26TH AVE NW
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City | ROCHESTER
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State | MN
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Zip | 55901-8057
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Country | US
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Telephone | 507-990-2474
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Fax | 507-540-8175
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Provider Business Mailing Address
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Address Line | 2230 26TH AVE NW
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City | ROCHESTER
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State | MN
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Zip | 55901-8057
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Country | US
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Telephone | 507-990-2474
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Fax | 507-540-8175
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Authorized Official
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Title or Position | MANAGER
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Name | WUDNEH O GAGA
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Credential | RN
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Telephone | 507-990-2474
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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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Taxonomy #2
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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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