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General NPI Number Information
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NPI Number | 1366877102
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Entity Type | Organization
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Legal Business Name | FARMAL HOMES INC
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 3501 27TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-2507
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Country | US
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Telephone | 612-229-3829
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Fax |
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Provider Business Mailing Address
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Address Line | 570 LOMIANKI LN NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55421-5031
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Country | US
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Telephone | 612-229-3829
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. FARIDA J FARAH
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Credential |
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Telephone | 612-229-3829
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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 | 29687/29688
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License Number State | MN
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