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General NPI Number Information
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NPI Number | 1285737460
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF THE TWIN CITIES, INC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 2200 UNIVERSITY AVE W SUITE 160
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City | SAINT PAUL
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State | MN
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Zip | 55114-1839
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Country | US
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Telephone | 651-917-3634
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Fax | 651-917-3620
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Provider Business Mailing Address
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Address Line | 2200 UNIVERSITY AVE W SUITE 160
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City | SAINT PAUL
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State | MN
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Zip | 55114-1839
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Country | US
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Telephone | 651-917-3634
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Fax | 651-917-3620
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MR. THOMAS RICHARD GEARY
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Credential |
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Telephone | 651-917-3634
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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 | 332058
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 331122
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 331118
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License Number State | MN
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