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General NPI Number Information
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NPI Number | 1710695523
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Entity Type | Organization
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Legal Business Name | ELATE CARE INC.
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 409 E MAIN ST
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City | MELROSE
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State | MN
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Zip | 55398-5539
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Country | US
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Telephone | 612-230-0335
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Fax |
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Provider Business Mailing Address
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Address Line | 13869 3RD AVE S
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City | ZIMMERMAN
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State | MN
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Zip | 55398-4726
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Country | US
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Telephone | 612-230-0335
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Fax |
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Authorized Official
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Title or Position | CFO/CCO
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Name | ISAACSON M M PAYE
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Credential |
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Telephone | 612-230-0335
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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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