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General NPI Number Information
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NPI Number | 1508390493
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Entity Type | Organization
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Legal Business Name | SYNCARE, INC
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 601 CARLSON PKWY STE 1050
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City | MINNETONKA
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State | MN
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Zip | 55305-5219
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Country | US
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Telephone | 612-512-3785
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Fax | 612-435-1231
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Provider Business Mailing Address
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Address Line | 11622 LIVE OAK DR
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City | MINNETONKA
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State | MN
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Zip | 55305-2592
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Country | US
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Telephone | 612-512-3785
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Fax | 612-435-1231
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Authorized Official
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Title or Position | CEO
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Name | ANN HORTILLOSA
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Credential |
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Telephone | 612-512-3785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | MN
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