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General NPI Number Information
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NPI Number | 1609614130
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Entity Type | Individual
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Provider Name | MUHUBA AHMED OSMAN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2024
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 4470 W 78TH STREET CIR STE 228
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City | MINNEAPOLIS
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State | MN
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Zip | 55435-5408
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Country | US
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Telephone | 612-919-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 W 80 1/2 ST UNIT 104
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City | BLOOMINGTON
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State | MN
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Zip | 55431-5107
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Country | US
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Telephone | 612-919-8006
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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