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General NPI Number Information
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NPI Number | 1285686378
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Entity Type | Organization
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Legal Business Name | EVERCARE COLLABORATIVE SOLUTIONS INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 314-336-0945
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Fax |
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Provider Business Mailing Address
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Address Line | 601 OFFICE CENTER DR
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City | FT WASHINGTON
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State | PA
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Zip | 19034-3232
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Country | US
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Telephone | 314-336-0945
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Fax | 314-336-0949
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Authorized Official
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Title or Position | CFO
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Name | SCOTT J FRIES
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Credential |
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Telephone | 952-936-5751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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