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General NPI Number Information
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NPI Number | 1326265455
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Entity Type | Organization
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Legal Business Name | HMONG ELDERS CENTER, INC.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 430 DALE ST N
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City | SAINT PAUL
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State | MN
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Zip | 55103-2255
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Country | US
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Telephone | 651-224-2774
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Fax | 651-224-1882
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Provider Business Mailing Address
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Address Line | 430 DALE ST N
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City | SAINT PAUL
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State | MN
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Zip | 55103-2255
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Country | US
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Telephone | 651-224-2774
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Fax | 651-224-1882
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Authorized Official
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Title or Position | PRESIDENT, FOUNDER
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Name | TED XIONG
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Credential |
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Telephone | 651-283-8480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 10425351ADC
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License Number State | MN
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