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General NPI Number Information
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NPI Number | 1265883698
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Entity Type | Organization
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Legal Business Name | INSPIRED HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 2817 ANTHONY LN S STE 103
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City | ST ANTHONY
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State | MN
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Zip | 55418-2489
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Country | US
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Telephone | 612-701-2731
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Fax | 877-623-2009
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Provider Business Mailing Address
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Address Line | 2817 ANTHONY LN S STE 103
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City | ST ANTHONY
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State | MN
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Zip | 55418-2489
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Country | US
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Telephone | 612-701-2731
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Fax | 877-623-2009
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | HASSAN HAJI-MOHAMUD
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Credential |
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Telephone | 612-701-2731
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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 | MN
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