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General NPI Number Information
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NPI Number | 1417187394
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Entity Type | Organization
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Legal Business Name | MINNESOTA WE CARE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 401 E BURNSVILLE PKWY APT 116
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City | BURNSVILLE
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State | MN
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Zip | 55337-2844
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Country | US
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Telephone | 651-983-4810
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Fax | 952-431-6280
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Provider Business Mailing Address
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Address Line | 401 E BURNSVILLE PKWY APT 116
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City | BURNSVILLE
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State | MN
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Zip | 55337-2844
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Country | US
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Telephone | 651-983-4810
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Fax | 952-431-6280
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Authorized Official
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Title or Position | OWNER, DIRECTOR OF NURSING
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Name | MR. NATAN VOGMAN
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Credential | RN
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Telephone | 952-953-9783
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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 | 345072
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License Number State | MN
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