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General NPI Number Information
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NPI Number | 1497630289
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Entity Type | Organization
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Legal Business Name | SUPPORTHEALTHMN LLC
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Dates
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Enumeration Date | 08/09/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 1027 LAFOND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55104-2111
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Country | US
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Telephone | 651-442-6238
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Fax | 651-262-0023
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Provider Business Mailing Address
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Address Line | 1027 LAFOND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55104-2111
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Country | US
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Telephone | 651-442-6238
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Fax | 651-262-0023
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Authorized Official
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Title or Position | CO-OWNER
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Name | ASHEIPUH YVETTE
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Credential | RN
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Telephone | 651-404-8654
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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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