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General NPI Number Information
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NPI Number | 1598629792
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Entity Type | Organization
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Legal Business Name | REVIVE CARE SERVICES INC.
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 2048 123RD LN NW
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City | MINNEAPOLIS
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State | MN
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Zip | 55448-7087
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Country | US
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Telephone | 612-503-9577
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Fax |
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Provider Business Mailing Address
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Address Line | 2048 123RD LN NW
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City | MINNEAPOLIS
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State | MN
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Zip | 55448-7087
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Country | US
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Telephone | 612-503-9577
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | WARSAME WARSAME
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Credential |
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Telephone | 612-503-9577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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