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General NPI Number Information
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NPI Number | 1295080802
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Entity Type | Organization
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Legal Business Name | MILLINEUM HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 6875 WASHINGTON AVE S # 103
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City | EDINA
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State | MN
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Zip | 55439-1500
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Country | US
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Telephone | 952-212-7446
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Fax |
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Provider Business Mailing Address
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Address Line | 6875 WASHINGTON AVE S # 103
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City | EDINA
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State | MN
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Zip | 55439-1500
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Country | US
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Telephone | 952-212-7446
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. ASAD KHALIF ALIWEYD
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Credential |
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Telephone | 952-212-7446
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | --353745
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License Number State | MN
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