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General NPI Number Information
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NPI Number | 1417849779
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Entity Type | Organization
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Legal Business Name | HGS INNOVATIONS
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 270 MILKYWAY AVE W
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City | LAKE LILLIAN
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State | MN
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Zip | 56253-6000
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Country | US
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Telephone | 320-664-4848
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Fax | 320-664-4850
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Provider Business Mailing Address
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Address Line | 835 10TH ST
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City | CLEARWATER
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State | MN
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Zip | 55320-4585
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Country | US
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Telephone | 763-607-1120
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICHOLAS GOEDEL
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Credential |
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Telephone | 763-607-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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