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General NPI Number Information
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NPI Number | 1457705980
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Entity Type | Organization
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Legal Business Name | GENTLE TOUCH HEALTH INITIATIVES, LLC
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 04/21/2016
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Provider Practice Location Address
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Address Line | 105 PLUM RUN
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City | LE SUEUR
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State | MN
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Zip | 56058-2188
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Country | US
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Telephone | 507-665-2499
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Fax | 507-540-1062
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Provider Business Mailing Address
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Address Line | 105 PLUM RUN
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City | LE SUEUR
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State | MN
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Zip | 56058-2188
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Country | US
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Telephone | 507-665-2499
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Fax | 507-540-1062
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL B PAGH
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Credential |
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Telephone | 763-377-1800
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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 | 375259
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License Number State | MN
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