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General NPI Number Information
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NPI Number | 1275535569
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA HOME HEALTH SERVICES OF SOUTHEASTERN MINNESOTA
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 1800 HIGH POINTE LN NW STE 250
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City | ROCHESTER
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State | MN
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Zip | 55901-3007
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Country | US
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Telephone | 507-322-5740
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Fax | 507-322-5716
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Provider Business Mailing Address
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Address Line | 1800 HIGH POINTE LN NW STE 250
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City | ROCHESTER
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State | MN
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Zip | 55901-3007
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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 | ASSISTANT SECRETARY
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Name | NANCY GAVIN
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Credential |
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Telephone | 952-983-4249
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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 | 383366
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License Number State | MN
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