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General NPI Number Information
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NPI Number | 1366564114
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Entity Type | Organization
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Legal Business Name | ECUMEN HOME CARE, INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 1710 PLYMOUTH AVE N #207
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City | MINNEAPOLIS
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State | MN
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Zip | 55411-3861
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Country | US
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Telephone | 612-588-3346
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Fax |
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Provider Business Mailing Address
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Address Line | 3530 LEXINGTON AVE N
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City | SHOREVIEW
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State | MN
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Zip | 55126-8164
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Country | US
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Telephone | 651-766-4300
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATHRYN R ROBERTS
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Credential |
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Telephone | 651-766-4300
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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 | 332750
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License Number State | MN
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