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General NPI Number Information
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NPI Number | 1629267620
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Entity Type | Organization
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Legal Business Name | V-CARE HOME HEALTH, INC.
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 1049 PAYNE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55130-3840
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Country | US
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Telephone | 651-793-7635
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Fax |
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Provider Business Mailing Address
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Address Line | 1049 PAYNE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55130-3840
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Country | US
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Telephone | 651-793-7635
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS SUE KIACHIATONG XIONG
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Credential | HOME HEALTH CARE
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Telephone | 651-793-7635
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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 | 251E00000X-HME HEALT
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License Number State | MN
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