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General NPI Number Information
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NPI Number | 1235645763
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Entity Type | Organization
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Legal Business Name | CARINGHANDS ADULT DAY CENTER
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 1325 AMERICAN BLVD E STE 1
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1152
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Country | US
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Telephone | 952-681-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 AMERICAN BLVD E STE 1
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1152
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Country | US
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Telephone | 952-681-2195
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Fax | 952-407-9707
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Authorized Official
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Title or Position | OWNER/PROGRAM DIRECTOR
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Name | RAGE BASHIR YUSUF
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Credential |
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Telephone | 952-681-2195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number | 1090379-1-
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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