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General NPI Number Information
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NPI Number | 1518750041
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Entity Type | Organization
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Legal Business Name | WEAVER HEALTH LLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 6471 CARRIAGE WAY
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City | CORCORAN
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State | MN
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Zip | 55340-4445
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Country | US
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Telephone | 763-742-7593
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Fax |
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Provider Business Mailing Address
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Address Line | 6471 CARRIAGE WAY
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City | CORCORAN
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State | MN
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Zip | 55340-4445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADULT GERIATRIC NURSE PRACTITIONER
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Name | UCHECHI AMAJUOYI
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Credential | NP
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Telephone | 763-742-7593
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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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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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