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General NPI Number Information
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NPI Number | 1689797102
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Entity Type | Organization
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Legal Business Name | ACUTE HOME HEALTH CARE OF MN
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 11/11/2018
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Provider Practice Location Address
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Address Line | 6385 OLD SHADY OAK RD STE 250
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-7705
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Country | US
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Telephone | 952-361-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 6385 OLD SHADY OAK RD STE 250
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3299
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Country | US
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Telephone | 952-361-0080
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Fax | 952-448-1996
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. KIMLOAN SLOSS
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Credential | RN, PHN
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Telephone | 952-361-0080
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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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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 1039690-2-AFC
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 34050
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 1039688-2-AFC
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License Number State | MN
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