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General NPI Number Information
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NPI Number | 1710349436
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Entity Type | Organization
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Legal Business Name | CROWN HOME CARE INC.
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 1710 DOUGLAS DR N STE 224F
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City | GOLDEN VALLEY
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State | MN
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Zip | 55422-4359
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Country | US
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Telephone | 612-540-5088
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 DOUGLAS DR N STE 224F
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City | GOLDEN VALLEY
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State | MN
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Zip | 55422-4359
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Country | US
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Telephone | 612-540-5088
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ABDIHAKIN AHMED
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Credential |
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Telephone | 612-540-5088
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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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