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General NPI Number Information
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NPI Number | 1447821582
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Entity Type | Organization
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Legal Business Name | LIVING HOPE CARE, LLC
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 4660 SLATER RD STE 230
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City | EAGAN
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State | MN
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Zip | 55122-4053
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Country | US
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Telephone | 651-424-7163
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Fax | 651-493-9380
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Provider Business Mailing Address
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Address Line | 4660 SLATER RD STE 230
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City | EAGAN
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State | MN
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Zip | 55122-4053
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Country | US
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Telephone |
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Fax | 651-493-9380
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KAITLIN WITTE
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Credential |
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Telephone | 541-263-2497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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