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General NPI Number Information
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NPI Number | 1548793300
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Entity Type | Organization
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Legal Business Name | METROPOLITAN HUMAN SERVICES, LLC
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Dates
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Enumeration Date | 04/09/2017
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Last Update Date | 04/09/2017
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Provider Practice Location Address
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Address Line | 5747 W BROADWAY AVE STE 116
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City | CRYSTAL
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State | MN
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Zip | 55428-3549
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Country | US
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Telephone | 952-688-9960
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Fax |
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Provider Business Mailing Address
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Address Line | 5747 W BROADWAY AVE STE 116
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City | CRYSTAL
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State | MN
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Zip | 55428-3549
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Country | US
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Telephone | 952-688-9960
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ABDULLAHI FARAH
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Credential |
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Telephone | 952-688-9960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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Taxonomy #4
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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Taxonomy #7
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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