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General NPI Number Information
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NPI Number | 1265166037
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Entity Type | Organization
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Legal Business Name | EE&E SISTERS CARING HOME
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 81 117TH AVE NE
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City | BLAINE
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State | MN
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Zip | 55434-1894
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Country | US
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Telephone | 763-439-3762
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Fax |
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Provider Business Mailing Address
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Address Line | 11899 MARIGOLD ST NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-2727
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Country | US
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Telephone | 763-439-3762
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DORCAS A OYETUNDE
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Credential |
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Telephone | 763-439-3762
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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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