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General NPI Number Information
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NPI Number | 1366320848
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Entity Type | Organization
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Legal Business Name | CONNIE CARES LLC
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Dates
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Enumeration Date | 08/23/2025
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 5196 LEXINGTON CT SE
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City | PRIOR LAKE
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State | MN
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Zip | 55372-3363
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Country | US
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Telephone | 952-200-3255
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Fax |
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Provider Business Mailing Address
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Address Line | 5196 LEXINGTON CT SE
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City | PRIOR LAKE
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State | MN
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Zip | 55372-3363
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Country | US
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Telephone | 952-200-3255
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CORNELIA GONSER
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Credential | RN
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Telephone | 952-200-3255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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