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General NPI Number Information
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NPI Number | 1669772059
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Entity Type | Organization
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Legal Business Name | HEALTHNORTH HOME CARE, INC.
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 1320 32ND AVE N SUITE 170
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City | SAINT CLOUD
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State | MN
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Zip | 56303-1612
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Country | US
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Telephone | 320-260-5280
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Fax | 320-281-5317
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Provider Business Mailing Address
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Address Line | 1320 32ND AVE N SUITE 170
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City | SAINT CLOUD
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State | MN
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Zip | 56303-1612
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Country | US
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Telephone | 320-260-5280
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Fax | 320-281-5317
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Authorized Official
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Title or Position | CEO
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Name | MR. JAY ADAM JOHNSON
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Credential |
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Telephone | 320-260-5280
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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 | HFID-32042
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License Number State | MN
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