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General NPI Number Information
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NPI Number | 1750140612
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Entity Type | Organization
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Legal Business Name | CARE CRAFTERS LLC
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 12751 COUNTY ROAD 5 STE 170
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City | BURNSVILLE
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State | MN
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Zip | 55337-2299
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Country | US
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Telephone | 612-418-3129
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Fax |
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Provider Business Mailing Address
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Address Line | 12751 COUNTY ROAD 5 STE 170
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City | BURNSVILLE
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State | MN
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Zip | 55337-2299
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Country | US
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Telephone | 612-418-3129
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ABDIRAHMAN M GARGAR
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Credential |
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Telephone | 612-418-3120
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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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