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General NPI Number Information
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NPI Number | 1255064838
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Entity Type | Organization
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Legal Business Name | THE RISE & SHINE PROJECT INC
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 501 E BURNSVILLE PKWY APT 310
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City | BURNSVILLE
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State | MN
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Zip | 55337-2888
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Country | US
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Telephone | 612-423-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 501 E BURNSVILLE PKWY APT 310
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City | BURNSVILLE
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State | MN
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Zip | 55337-2888
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Country | US
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Telephone | 612-423-3344
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MR. TEKU NJIKTA
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Credential |
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Telephone | 612-423-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive 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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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