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General NPI Number Information
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NPI Number | 1386456721
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Entity Type | Organization
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Legal Business Name | CARE CREW HOUSING SERVICES LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1530 THOMAS LAKE POINTE RD APT 318
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City | SAINT PAUL
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State | MN
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Zip | 55122-2555
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Country | US
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Telephone | 763-285-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 THOMAS LAKE POINTE RD APT 318
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City | SAINT PAUL
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State | MN
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Zip | 55122-2555
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Country | US
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Telephone | 763-285-2505
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/ OWNER
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Name | RAHMA MUSE
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Credential |
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Telephone | 763-285-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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