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General NPI Number Information
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NPI Number | 1376185959
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Entity Type | Organization
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Legal Business Name | 2CARE4U SOUTH, LLC
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 6001 EGAN DR STE 150
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City | SAVAGE
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State | MN
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Zip | 55378-4915
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Country | US
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Telephone | 952-693-0545
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Fax | 952-693-0264
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Provider Business Mailing Address
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Address Line | 6001 EGAN DR STE 150
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City | SAVAGE
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State | MN
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Zip | 55378-4915
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Country | US
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Telephone | 952-693-0545
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Fax | 952-693-0264
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. AMY J WAHLSTROM-MCALISTER
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Credential |
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Telephone | 952-693-0545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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