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General NPI Number Information
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NPI Number | 1245184258
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Entity Type | Organization
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Legal Business Name | RESCARE MINNESOTA, INC.
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 6120 EARLE BROWN DR STE 100
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-4100
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Country | US
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Telephone | 763-537-6612
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Fax | 763-537-7162
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Provider Business Mailing Address
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Address Line | 6120 EARLE BROWN DR STE 100
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-4100
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Country | US
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Telephone | 763-537-6612
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Fax | 763-537-7162
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT MANAGER
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Name | DENISHA CONNOR
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Credential |
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Telephone | 502-630-7421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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