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General NPI Number Information
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NPI Number | 1215376397
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Entity Type | Organization
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Legal Business Name | TWINKLE TOES, CORP.
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 32058 LINCOLN RD
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City | LINDSTROM
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State | MN
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Zip | 55045-8331
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Country | US
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Telephone | 651-257-4317
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Fax | 651-257-4317
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Provider Business Mailing Address
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Address Line | 32058 LINCOLN RD
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City | LINDSTROM
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State | MN
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Zip | 55045-8331
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Country | US
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Telephone | 651-257-4317
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Fax | 651-257-4317
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Authorized Official
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Title or Position | CEO/CFO
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Name | MS. KATHRYN JANE O'SHEA
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Credential | RN
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Telephone | 651-257-4317
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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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