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General NPI Number Information
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NPI Number | 1356587851
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Entity Type | Organization
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Legal Business Name | CAREFOCUS HEALTH INC
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 2429 UNIVERSITY AVE W # 200A
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City | SAINT PAUL
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State | MN
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Zip | 55114-1541
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Country | US
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Telephone | 651-756-7932
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Fax | 651-200-4853
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Provider Business Mailing Address
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Address Line | 2429 UNIVERSITY AVENUE W # 200A
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City | SAINT PAUL
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State | MN
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Zip | 55114-1541
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Country | US
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Telephone | 651-756-7932
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Fax | 651-200-4853
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Authorized Official
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Title or Position | OWNER
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Name | ADEWALE OLADOTUN KOLEOSHO
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Credential | BBA
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Telephone | 651-756-7932
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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 | PENDING
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License Number State | MN
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