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General NPI Number Information
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NPI Number | 1790156503
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Entity Type | Organization
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Legal Business Name | SCANDINAVIAN HOMECARE LLC
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 7400 METRO BLVD SUITE # 155
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City | EDINA
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State | MN
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Zip | 55439-2316
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Country | US
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Telephone | 952-222-9119
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 METRO BLVD SUITE # 155
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City | EDINA
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State | MN
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Zip | 55439-2316
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Country | US
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Telephone | 952-222-9119
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Fax |
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Authorized Official
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Title or Position | DIRECTOR - OPERATIONS
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Name | MR. ALI SAJJAD
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Credential |
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Telephone | 612-702-3860
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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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