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General NPI Number Information
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NPI Number | 1609780113
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Entity Type | Organization
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Legal Business Name | VICTORY ONE LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 3614 103RD TRL N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1885
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Country | US
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Telephone | 612-703-1375
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Fax | 612-241-3470
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Provider Business Mailing Address
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Address Line | 3614 103RD TRL N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1885
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Country | US
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Telephone | 612-703-1375
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Fax | 612-241-3470
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Authorized Official
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Title or Position | NURSING
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Name | VICTORIA CHIGOZIE EVULEOCHA
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Credential | RN
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Telephone | 612-703-1374
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NULL
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