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General NPI Number Information
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NPI Number | 1639495039
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Entity Type | Organization
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Legal Business Name | ECUMEN
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3530 LEXINGTON AVE N
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City | SHOREVIEW
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State | MN
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Zip | 55126-8166
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Country | US
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Telephone | 763-755-9009
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Fax | 763-862-8030
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Provider Business Mailing Address
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Address Line | 3530 LEXINGTON AVE N
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City | SHOREVIEW
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State | MN
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Zip | 55126-8166
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Country | US
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Telephone | 763-755-9009
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Fax | 763-862-8030
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | CYNTHIA R MOWAN
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Credential |
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Telephone | 651-766-4300
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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 | 346745
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License Number State | MN
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