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General NPI Number Information
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NPI Number | 1265178198
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Entity Type | Organization
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Legal Business Name | EVERCARE HEALTH NET LLC
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 4274 DANIEL DR
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City | EAGAN
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State | MN
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Zip | 55123-1993
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Country | US
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Telephone | 763-415-6596
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Fax | 651-369-8031
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Provider Business Mailing Address
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Address Line | 4274 DANIEL DR
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City | EAGAN
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State | MN
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Zip | 55123-1993
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Country | US
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Telephone | 763-415-6596
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Fax | 651-369-8031
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAHEEN G RASHID
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Credential |
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Telephone | 763-415-6596
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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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