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General NPI Number Information
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NPI Number | 1306714381
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Entity Type | Organization
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Legal Business Name | KANTU-MIAMEN LOGISTICS CORP
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 6508 75 1/2 AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55428-1426
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Country | US
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Telephone | 484-744-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 6508 75 1/2 AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55428-1426
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Country | US
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Telephone | 484-744-5450
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OLIVER DAHN MIAMEN
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Credential | OWNER
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Telephone | 484-744-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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