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General NPI Number Information
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NPI Number | 1508308842
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Entity Type | Organization
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Legal Business Name | CARE PARTNERS HOMECARE LLC
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 8525 EDINBROOK XING STE 13
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1967
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Country | US
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Telephone | 763-458-2727
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Fax | 763-207-0076
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Provider Business Mailing Address
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Address Line | 8525 EDINBROOK XING STE 13
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1967
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Country | US
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Telephone | 763-458-2727
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Fax | 763-207-0076
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ISHMAEL KOMARA
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Credential | RN
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Telephone | 763-458-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive 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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