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General NPI Number Information
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NPI Number | 1780444398
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Entity Type | Organization
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Legal Business Name | WELLNESS WORKS
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1801 W 80 1/2 ST UNIT 339
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City | BLOOMINGTON
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State | MN
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Zip | 55431-7102
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Country | US
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Telephone | 952-769-3697
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 W 80 1/2 ST UNIT 339
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City | BLOOMINGTON
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State | MN
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Zip | 55431-7102
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Country | US
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Telephone | 952-769-3697
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ABDIKHALIQ SAHAL
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Credential |
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Telephone | 952-769-3697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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