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General NPI Number Information
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NPI Number | 1598866923
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Entity Type | Organization
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Legal Business Name | SYLVIA SUE MEUSER
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 1008 DUNHAM ST
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City | ALBERT LEA
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State | MN
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Zip | 56007-1646
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Country | US
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Telephone | 507-373-0201
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Fax | 507-373-0201
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Provider Business Mailing Address
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Address Line | 1008 DUNHAM ST
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City | ALBERT LEA
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State | MN
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Zip | 56007
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Country | US
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Telephone | 507-373-0201
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Fax | 507-373-0201
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Authorized Official
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Title or Position | OWNER CEO
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Name | MS. SYLVIA SUE MEUSER
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Credential | CEO
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Telephone | 507-373-0201
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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 | 125447200
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License Number State | MN
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