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General NPI Number Information
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NPI Number | 1346931060
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Entity Type | Organization
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Legal Business Name | LIKE MOTHER, LIKE DAUGHTER LLC
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 826 7TH AVE SW
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City | PERHAM
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State | MN
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Zip | 56573-1664
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Country | US
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Telephone | 218-457-3442
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Fax | 218-285-8453
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Provider Business Mailing Address
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Address Line | 825 & 826 7TH AVE SW
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City | PERHAM
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State | MN
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Zip | 56573
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Country | US
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Telephone | 218-457-3442
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Fax | 218-285-8453
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Authorized Official
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Title or Position | MANAGERIAL OFFICIAL/LPN
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Name | MELISSA RALINE PYLE
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Credential |
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Telephone | 218-457-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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