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General NPI Number Information
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NPI Number | 1306275391
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Entity Type | Organization
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Legal Business Name | THRIFTY WHITE CHP
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Dates
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Enumeration Date | 11/11/2013
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 6055 NATHAN LN N SUITE 200
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City | PLYMOUTH
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State | MN
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Zip | 55442-1674
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Country | US
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Telephone | 763-248-7609
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Fax | 763-248-7631
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Provider Business Mailing Address
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Address Line | 6701 EVENSTAD DR N STE 100
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City | MAPLE GROVE
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State | MN
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Zip | 55369-6013
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Country | US
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Telephone | 763-513-4300
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. MELISSA PLACHECKI
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Credential | RN
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Telephone | 763-248-7610
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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 | 364589
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License Number State | MN
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