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General NPI Number Information
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NPI Number | 1386322816
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Entity Type | Organization
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Legal Business Name | UPCARE HOME L..L.C.
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 860 BLUE GENTIAN RD STE 200
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City | EAGAN
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State | MN
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Zip | 55121-1567
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Country | US
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Telephone | 612-245-9769
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Fax |
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Provider Business Mailing Address
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Address Line | 860 BLUE GENTIAN RD STE 200
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City | EAGAN
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State | MN
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Zip | 55121-1567
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Country | US
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Telephone | 612-245-9769
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ABDINASIR UGAAS
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Credential | COO
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Telephone | 612-245-9769
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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 |
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License Number State |
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