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General NPI Number Information
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NPI Number | 1518862739
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Entity Type | Organization
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Legal Business Name | ULTIMATE ADULT DAYCARE INC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 1304 E LAKE ST STE 106
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1771
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Country | US
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Telephone | 651-529-4158
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Fax | 612-465-6598
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Provider Business Mailing Address
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Address Line | 1304 E LAKE ST STE 106
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1771
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Country | US
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Telephone | 651-529-4158
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Fax | 612-465-6598
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED SAHAL
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Credential |
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Telephone | 651-529-4158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NULL
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