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General NPI Number Information
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NPI Number | 1700692688
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Entity Type | Organization
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Legal Business Name | CARE CHEXX LLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2701 FREEWAY BLVD
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-1720
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Country | US
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Telephone | 763-549-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 2552 TOURNAMENT PLAYERS CIR N
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City | BLAINE
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State | MN
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Zip | 55449-5667
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Country | US
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Telephone | 763-221-3558
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Fax | 763-205-5108
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MR. KEITH A LATTIMORE
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Credential | MBA
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Telephone | 763-221-3558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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