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General NPI Number Information
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NPI Number | 1326925363
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Entity Type | Organization
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Legal Business Name | PEACEFUL AGING INC.
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 8530 EAGLE POINT BLVD STE 100
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City | LAKE ELMO
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State | MN
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Zip | 55042-8648
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Country | US
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Telephone | 651-373-5981
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Fax |
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Provider Business Mailing Address
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Address Line | 8530 EAGLE POINT BLVD STE 100
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City | LAKE ELMO
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State | MN
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Zip | 55042-8648
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWN BARRATT
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Credential | RN
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Telephone | 651-373-5981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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