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General NPI Number Information
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NPI Number | 1669233508
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Entity Type | Organization
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Legal Business Name | DIRECTLINK
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 2977 LEXINGTON AVE S APT 306
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City | EAGAN
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State | MN
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Zip | 55121-1476
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Country | US
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Telephone | 612-440-9690
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Fax |
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Provider Business Mailing Address
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Address Line | 2977 LEXINGTON AVE S APT 306
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City | EAGAN
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State | MN
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Zip | 55121-1476
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Country | US
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Telephone | 612-440-9690
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED AGENT
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Name | MS. EKRAM HASSAN ALYAFEI
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Credential |
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Telephone | 612-295-1435
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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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