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General NPI Number Information
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NPI Number | 1508967134
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOME HEALTH, INC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 7447 EGAN DR STE 202
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City | SAVAGE
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State | MN
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Zip | 55378-2210
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Country | US
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Telephone | 952-440-3955
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Fax | 952-440-3956
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Provider Business Mailing Address
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Address Line | 7447 EGAN DR STE 202
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City | SAVAGE
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State | MN
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Zip | 55378-2210
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Country | US
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Telephone | 952-440-3955
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Fax | 952-440-3956
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Authorized Official
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Title or Position | CEO
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Name | DONNA NOVAK
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Credential |
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Telephone | 952-440-3955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 730218500
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License Number State | MN
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