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General NPI Number Information
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NPI Number | 1437424371
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Entity Type | Organization
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Legal Business Name | TRANSAMERICA CARE, INC.
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Dates
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Enumeration Date | 03/10/2012
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Last Update Date | 03/10/2012
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Provider Practice Location Address
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Address Line | 11536 YANCY CT NE
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City | BLAINE
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State | MN
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Zip | 55449-5940
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Country | US
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Telephone | 763-742-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 11536 YANCY CT NE
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City | BLAINE
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State | MN
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Zip | 55449-5940
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Country | US
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Telephone | 763-742-2225
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GEBI KOJI TUFAA
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Credential |
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Telephone | 763-742-2225
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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 | 357029
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License Number State | MN
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