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General NPI Number Information
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NPI Number | 1649789405
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Entity Type | Organization
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Legal Business Name | CARINGEDGE HEALTHCARE OF BISMARCK LLC
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 3124 COLORADO LN
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City | BISMARCK
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State | ND
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Zip | 58503-5447
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Country | US
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Telephone | 701-751-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 322 DEMERS AVE STE 500
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City | GRAND FORKS
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State | ND
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Zip | 58201-4799
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PHILIP GISI
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Credential |
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Telephone | 701-741-6230
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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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