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General NPI Number Information
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NPI Number | 1538572987
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Entity Type | Organization
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Legal Business Name | SMART CHOICE HEALTH CARE CORP
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 208 N BROADWAY
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City | ROCHESTER
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State | MN
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Zip | 55906-3646
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Country | US
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Telephone | 507-258-5050
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Fax | 507-258-5051
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Provider Business Mailing Address
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Address Line | 208 N BROADWAY
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City | ROCHESTER
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State | MN
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Zip | 55906-3646
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Country | US
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Telephone | 507-258-5050
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Fax | 507-258-5051
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Authorized Official
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Title or Position | PRESIDENT
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Name | FARAH JAMA MOHAMED
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Credential | OWNER
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Telephone | 507-258-5050
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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
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License Number |
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License Number State |
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