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NPI 1255152294

NPI 1255152294 : AIM HIGH CONSTRUCTION L.L.C. : HASTINGS, MN

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General NPI Number Information
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    NPI Number           |    1255152294
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    Entity Type          |    Organization 
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    Legal Business Name  |    AIM HIGH CONSTRUCTION L.L.C. 
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Dates
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    Enumeration Date     |    10/22/2024
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    Last Update Date     |    10/22/2024
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Provider Practice Location Address
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    Address Line         |    14546 HORNER AVE 
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    City                 |    HASTINGS
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    State                |    MN
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    Zip                  |    55033-9580
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    Country              |    US
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    Telephone            |    651-587-2573
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1369 230TH ST 
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    City                 |    GLENWOOD CITY
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    State                |    WI
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    Zip                  |    54013-8007
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CHRIS RICHARD MILLER 
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    Credential           |    
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    Telephone            |    651-587-2573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171WH0202X
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    Taxonomy Name        |    Home Modifications Contractor
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    License Number       |    
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    License Number State |    
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