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General NPI Number Information
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NPI Number | 1588921100
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Entity Type | Organization
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Legal Business Name | PERFECT CARE ASSIOCIATES
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 9080 EXCELSIOR BLVD
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City | HOPKINS
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State | MN
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Zip | 55343-3413
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Country | US
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Telephone | 612-222-0728
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Fax |
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Provider Business Mailing Address
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Address Line | 9080 EXCELSIOR BLVD
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City | HOPKINS
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State | MN
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Zip | 55343-3413
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Country | US
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Telephone | 612-222-0728
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JIMMIE BOWNES
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Credential |
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Telephone | 612-222-0728
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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 | MN
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | MN
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