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General NPI Number Information
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NPI Number | 1700286051
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Entity Type | Organization
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Legal Business Name | AMBER HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 08/23/2014
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Last Update Date | 08/23/2014
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Provider Practice Location Address
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Address Line | 900 AMERICAN BLVD E SUITE 206
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City | BLOOMINGTON
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State | MN
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Zip | 55420-1392
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Country | US
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Telephone | 952-854-1680
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Fax | 952-854-4466
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Provider Business Mailing Address
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Address Line | 900 AMERICAN BLVD E SUITE 206
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City | BLOOMINGTON
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State | MN
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Zip | 55420-1392
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Country | US
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Telephone | 952-854-1680
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Fax | 952-854-4466
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Authorized Official
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Title or Position | CHIEF MANAGER
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Name | AKLOG ASFAW
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Credential |
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Telephone | 612-940-7714
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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 | A553630100
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License Number State | MN
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