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General NPI Number Information
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NPI Number | 1396498531
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Entity Type | Organization
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Legal Business Name | SAHRA AHMED FAMILY FOSTER CARE
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 1010 FALCON RD SE
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City | ROCHESTER
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State | MN
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Zip | 55904-7828
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Country | US
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Telephone | 507-254-7799
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Fax | 507-208-4701
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Provider Business Mailing Address
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Address Line | 1010 FALCON RD SE
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City | ROCHESTER
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State | MN
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Zip | 55904-7828
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Country | US
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Telephone | 507-256-7788
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Fax | 507-208-7401
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Authorized Official
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Title or Position | OWNER
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Name | SAHRA ELMI AHMD
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Credential |
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Telephone | 507-254-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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