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General NPI Number Information
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NPI Number | 1760922710
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Entity Type | Organization
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Legal Business Name | SUNSET CARE LLC
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 1410 ENERGY PARK DR STE 12-14
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City | SAINT PAUL
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State | MN
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Zip | 55108-5266
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Country | US
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Telephone | 612-207-6825
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Fax |
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Provider Business Mailing Address
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Address Line | 17814 STEADING RD
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City | EDEN PRAIRIE
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State | MN
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Zip | 55347-2779
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Country | US
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Telephone | 612-207-6825
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. HUAN GAO
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Credential |
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Telephone | 612-207-6825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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