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General NPI Number Information
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NPI Number | 1518179415
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Entity Type | Organization
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Legal Business Name | CARE 2000 HOMEHEALTH CARE SERVICES OF MOORHEAD. MN
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 725 CENTER AVE STE 3A
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City | MOORHEAD
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State | MN
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Zip | 56560-1972
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Country | US
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Telephone | 218-233-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 HUMBOLDT AVE S STE 303
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City | BLOOMINGTON
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State | MN
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Zip | 55431-1453
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Country | US
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Telephone | 952-886-4414
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FRANK WASSMER
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Credential |
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Telephone | 952-886-4414
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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 | 4073A
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License Number State | ND
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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 | 333818
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License Number State | MN
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