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General NPI Number Information
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NPI Number | 1306772108
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Entity Type | Organization
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Legal Business Name | PEACE ON EARTH LIVING LLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 15008 STEVENS AVE
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City | BURNSVILLE
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State | MN
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Zip | 55306-5036
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Country | US
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Telephone | 952-451-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 15008 STEVENS AVE
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City | BURNSVILLE
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State | MN
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Zip | 55306-5036
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Country | US
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Telephone | 952-451-2356
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Fax |
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Authorized Official
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Title or Position | DIRECTOR / PRESIDENT
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Name | MOIRA DUVERNEAU-SALIFU
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Credential | MSN, APRN, NP-C
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Telephone | 952-451-2356
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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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