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General NPI Number Information
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NPI Number | 1295455418
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Entity Type | Organization
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Legal Business Name | PREFERENCE HOMECARE AGENCY
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 5201 EDEN AVE STE 300
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City | EDINA
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State | MN
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Zip | 55436-2316
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Country | US
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Telephone | 952-460-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 EDEN AVE STE 300
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City | EDINA
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State | MN
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Zip | 55436-2316
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Country | US
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Telephone | 952-460-2070
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMAL ALI
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Credential | RN, BSN
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Telephone | 858-717-2827
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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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