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General NPI Number Information
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NPI Number | 1588769087
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Entity Type | Organization
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Legal Business Name | TWILIGHT CARE, INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3704 CARDINAL RD
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City | MINNETONKA
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State | MN
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Zip | 55345-2204
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Country | US
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Telephone | 952-883-0526
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Fax |
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Provider Business Mailing Address
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Address Line | 3704 CARDINAL RD
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City | MINNETONKA
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State | MN
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Zip | 55345-2204
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Country | US
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Telephone | 952-883-0526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. FAUN M SPENCER
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Credential | RN
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Telephone | 612-209-0486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 6479590
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License Number State | MN
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