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General NPI Number Information
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NPI Number | 1427748433
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Entity Type | Organization
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Legal Business Name | 1STOP HOMECARE LLC
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 8400 NORMANDALE LAKE BLVD STE 920
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City | BLOOMINGTON
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State | MN
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Zip | 55437-3843
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Country | US
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Telephone | 612-475-9418
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Fax |
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Provider Business Mailing Address
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Address Line | 15644 FAIRFIELD DR
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City | APPLE VALLEY
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State | MN
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Zip | 55124-5352
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE & COMPLIANCE
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Name | SAIDO MOHAMED
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Credential |
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Telephone | 612-203-0424
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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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