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General NPI Number Information
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NPI Number | 1427842517
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Entity Type | Organization
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Legal Business Name | PATRICIA HEALTH CARE LLC
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 5513 BROOKDALE DR N APT 312
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-3063
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Country | US
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Telephone | 929-304-5215
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Fax |
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Provider Business Mailing Address
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Address Line | 5513 BROOKDALE DR N APT 312
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-3063
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Country | US
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Telephone | 929-304-5215
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. FRANK OKHAE OTIEMORIA
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Credential | BSC
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Telephone | 929-304-5215
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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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