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General NPI Number Information
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NPI Number | 1588599765
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Entity Type | Organization
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Legal Business Name | WELLDERLY LLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 14501 NOWTHEN BLVD NW
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City | RAMSEY
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State | MN
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Zip | 55303-6151
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Country | US
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Telephone | 763-202-4084
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Fax |
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Provider Business Mailing Address
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Address Line | 3117 8TH AVE
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City | ANOKA
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State | MN
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Zip | 55303-1477
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Country | US
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Telephone | 763-443-1262
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, FOUNDER
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Name | CATHERINE KAMMERER
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Credential | CDP
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Telephone | 763-443-1262
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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 |
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