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General NPI Number Information
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NPI Number | 1457978355
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Entity Type | Organization
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Legal Business Name | SIFU HEALTH LLC
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 1446 COUNTY ROAD B W
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City | ROSEVILLE
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State | MN
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Zip | 55113-4213
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Country | US
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Telephone | 763-445-1409
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Fax | 651-286-3300
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Provider Business Mailing Address
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Address Line | 311 EVERGREEN LN
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City | CIRCLE PINES
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State | MN
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Zip | 55014-7012
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Country | US
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Telephone | 763-445-1409
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | HAYU ABDULLE
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Credential |
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Telephone | 763-445-1409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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