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General NPI Number Information
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NPI Number | 1568780278
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Entity Type | Organization
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Legal Business Name | ROCHESTER HOME CARE
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 1504 VALLEYHIGH DR NW 3
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City | ROCHESTER
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State | MN
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Zip | 55901-0738
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Country | US
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Telephone | 612-205-9326
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 VALLEYHIGH DR NW 3
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City | ROCHESTER
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State | MN
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Zip | 55901-0738
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Country | US
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Telephone | 612-205-9326
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ABDULLAHI ABDI HUSSEIN
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Credential |
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Telephone | 612-205-9326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3688143-2
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License Number State | MN
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