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General NPI Number Information
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NPI Number | 1659214112
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Entity Type | Organization
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Legal Business Name | HOMEXGROUP LLC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 3916 S PEARL ST
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City | SEATTLE
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State | WA
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Zip | 98118-1956
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Country | US
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Telephone | 763-329-0252
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Fax |
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Provider Business Mailing Address
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Address Line | 310 4TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1099
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Country | US
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Telephone | 763-329-0252
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | HODAN MOHAMED
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Credential |
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Telephone | 763-329-0252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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