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General NPI Number Information
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NPI Number | 1235939349
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Entity Type | Organization
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Legal Business Name | EPIC HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2475 15TH ST NW STE C
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-5606
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Country | US
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Telephone | 612-714-9827
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Fax | 651-846-9599
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Provider Business Mailing Address
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Address Line | 2475 15TH ST NW STE C
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-5606
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Country | US
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Telephone | 612-714-9827
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Fax | 651-846-9599
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Authorized Official
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Title or Position | CEO
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Name | ALI A HASSAN
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Credential | CEO
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Telephone | 612-707-5737
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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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