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General NPI Number Information
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NPI Number | 1629204763
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Entity Type | Organization
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Legal Business Name | DARYEEL HOME CARE LLC
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 135 W MAIN ST
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City | OWATONNA
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State | MN
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Zip | 55060-2989
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Country | US
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Telephone | 507-214-2907
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Fax | 507-214-2908
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Provider Business Mailing Address
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Address Line | 135 W MAIN ST
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City | OWATONNA
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State | MN
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Zip | 55060-2989
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Country | US
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Telephone | 507-214-2907
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Fax | 507-214-2908
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Authorized Official
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Title or Position | CHIEF MANAGER
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Name | MR. AHMED HABIB ABDULLE
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Credential |
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Telephone | 612-481-8043
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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 |
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