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General NPI Number Information
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NPI Number | 1598183576
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Entity Type | Organization
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Legal Business Name | AT HOME TOMORROW
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 14550 EXCELSIOR BLVD STE 203
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City | MINNETONKA
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State | MN
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Zip | 55345-5878
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Country | US
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Telephone | 952-767-1687
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Fax | 952-935-4030
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Provider Business Mailing Address
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Address Line | 14550 EXCELSIOR BLVD STE 203
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City | MINNETONKA
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State | MN
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Zip | 55345-5878
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Country | US
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Telephone | 952-767-1687
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Fax | 952-935-4030
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | SCOTT BURGLECHNER
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Credential |
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Telephone | 651-783-2373
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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 | 367017
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License Number State | MN
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