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General NPI Number Information
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NPI Number | 1316957988
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HOME HEALTH CARE AGENCY CORP
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 1801 NICOLLET AVE SUITE 105
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-3793
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Country | US
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Telephone | 612-822-2937
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Fax | 612-822-2998
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Provider Business Mailing Address
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Address Line | 1801 NICOLLET AVE SUITE 105
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-3793
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Country | US
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Telephone | 612-822-2937
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Fax | 612-822-2998
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. MUSTAFA MUSSA
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Credential |
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Telephone | 612-822-2937
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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 | 332960
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License Number State | MN
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