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NPI 1780959809

NPI 1780959809 : DAKOTA HOME CARE, INC. : BISMARCK, ND

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General NPI Number Information
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    NPI Number           |    1780959809
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAKOTA HOME CARE, INC. 
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Dates
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    Enumeration Date     |    03/22/2012
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    Last Update Date     |    06/11/2024
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Provider Practice Location Address
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    Address Line         |    300 W CENTURY AVE STE B 
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    City                 |    BISMARCK
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    State                |    ND
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    Zip                  |    58503-4900
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    Country              |    US
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    Telephone            |    701-663-5373
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    Fax                  |    701-663-8556
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Provider Business Mailing Address
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    Address Line         |    300 W CENTURY AVE STE B 
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    City                 |    BISMARCK
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    State                |    ND
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    Zip                  |    58503-4900
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    Country              |    US
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    Telephone            |    701-663-5373
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    Fax                  |    701-663-8556
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BEVERLY  UNRATH 
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    Credential           |    
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    Telephone            |    701-663-5373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    4075
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    License Number State |    ND
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Taxonomy #3
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    4075
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    License Number State |    ND
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