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General NPI Number Information
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NPI Number | 1669185351
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Entity Type | Organization
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Legal Business Name | TDO ENTERPRISES INC
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1765 HIGHWAY 52 N LOWR LEVEL
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City | ROCHESTER
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State | MN
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Zip | 55901-1665
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Country | US
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Telephone | 507-281-1798
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Fax |
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Provider Business Mailing Address
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Address Line | 1765 HIGHWAY 52 N LOWR LEVEL
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City | ROCHESTER
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State | MN
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Zip | 55901-1665
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Country | US
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Telephone | 507-281-1798
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DALE DODDS
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Credential |
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Telephone | 507-281-1798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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