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General NPI Number Information
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NPI Number | 1255618922
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Entity Type | Organization
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Legal Business Name | NATIONAL HOME HEALTH INC
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 1411 W SAIN GERMAIN ST #06
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City | SAINT CLOUD
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State | MN
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Zip | 56301
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Country | US
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Telephone | 320-217-8700
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Fax | 320-217-5302
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Provider Business Mailing Address
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Address Line | 1411 W. ST.GERMAIN #06
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City | ST.CLOUD
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State | MN
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Zip | 56301
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Country | US
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Telephone | 320-217-8700
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Fax | 320-217-5302
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Authorized Official
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Title or Position | PRESIDENT
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Name | TOHOW SIYAD SIYAD
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Credential |
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Telephone | 320-217-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 375258
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License Number State | MN
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