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General NPI Number Information
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NPI Number | 1700186483
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Entity Type | Organization
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Legal Business Name | SOUTHWEST MEALS VIA WHEELS
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 6345 XERXES AVE S
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City | RICHFIELD
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State | MN
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Zip | 55423-1038
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Country | US
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Telephone | 612-866-0069
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Fax | 612-866-6215
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Provider Business Mailing Address
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Address Line | 5713 MORGAN AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55419-1546
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Country | US
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Telephone | 612-920-6761
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MRS. MARY JOSEPHSON
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Credential |
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Telephone | 612-920-6761
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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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