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General NPI Number Information
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NPI Number | 1750186805
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Entity Type | Organization
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Legal Business Name | SEED OF ABRAHAM ENTERPRISES LLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 10 W 57TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55419-1915
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Country | US
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Telephone | 612-806-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 GIRARD AVE S APT 101
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-1128
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Country | US
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Telephone | 612-806-1460
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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 | ELIZABETH ABRAHAM
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Credential |
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Telephone | 612-806-1460
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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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