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General NPI Number Information
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NPI Number | 1295468502
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Entity Type | Organization
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Legal Business Name | SENSE-ATIONAL SPACES, LLC
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 11517 POLK ST NE
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City | BLAINE
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State | MN
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Zip | 55434-2959
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Country | US
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Telephone | 651-233-7436
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Fax |
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Provider Business Mailing Address
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Address Line | 11517 POLK ST NE
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City | BLAINE
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State | MN
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Zip | 55434-2959
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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 | CO-OWNER, CEO
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Name | ALEXI MERCEDES CHRISTENSEN
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Credential | MA, OTR/L
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Telephone | 651-233-7436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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