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General NPI Number Information
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NPI Number | 1487079265
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Entity Type | Organization
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Legal Business Name | CLIENT-CENTERED HOME CARE, INC.
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 393 DUNLAP ST N SUITE #105
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City | SAINT PAUL
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State | MN
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Zip | 55104-4200
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Country | US
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Telephone | 612-245-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 393 DUNLAP STREET N, SUITE 105
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City | SAINT PAUL
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State | MN
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Zip | 55104-4201
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Country | US
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Telephone | 651-600-3869
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Fax | 651-797-4308
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Authorized Official
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Title or Position | DIRECTOR
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Name | ABDI S. WARSAME
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Credential |
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Telephone | 651-600-3869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 366231
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License Number State | MN
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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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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 375684
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License Number State | MN
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