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General NPI Number Information
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NPI Number | 1548964265
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Entity Type | Organization
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Legal Business Name | PRO HOME CARE FOR ALL
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 4310 HANREHAN TRL
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City | SAVAGE
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State | MN
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Zip | 55378-9783
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Country | US
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Telephone | 612-306-7838
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Fax | 612-351-3979
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Provider Business Mailing Address
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Address Line | 4310 HANREHAN TRL
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City | SAVAGE
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State | MN
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Zip | 55378-9783
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Country | US
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Telephone | 612-306-7838
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Fax | 612-351-3979
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANA RUTH PALACIOS
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Credential | RN
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Telephone | 612-306-7838
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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 |
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License Number State |
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