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General NPI Number Information
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NPI Number | 1629520358
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Entity Type | Organization
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Legal Business Name | BHUTANESE HOME HEALTH CARE SERVICES
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1901 WAGENER PL
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City | ROSEVILLE
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State | MN
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Zip | 55113-6962
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Country | US
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Telephone | 612-636-2983
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Fax | 651-493-7539
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Provider Business Mailing Address
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Address Line | 1901 WAGENER PL
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City | ROSEVILLE
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State | MN
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Zip | 55113-6962
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Country | US
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Telephone | 651-493-7514
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Fax | 651-493-7539
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Authorized Official
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Title or Position | OWNER/CEO
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Name | BHIM RAJ ADHIKARI
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Credential |
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Telephone | 612-636-2983
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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 | 98792
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License Number State | MN
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