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General NPI Number Information
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NPI Number | 1710536081
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Entity Type | Organization
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Legal Business Name | BLU CARE INC
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 7400 METRO BLVD STE 350
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City | EDINA
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State | MN
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Zip | 55439-2357
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Country | US
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Telephone | 888-517-5550
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Fax | 612-440-2199
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Provider Business Mailing Address
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Address Line | 7400 METRO BLVD STE 427
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City | EDINA
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State | MN
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Zip | 55439-2326
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Country | US
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Telephone | 612-501-8208
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Fax | 612-440-2199
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Authorized Official
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Title or Position | PRESIDENT
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Name | FAISEL ELMI
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Credential |
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Telephone | 612-501-8208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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