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General NPI Number Information
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NPI Number | 1801059431
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Entity Type | Organization
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Legal Business Name | IDIL SAID NUR
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 1821 UNIVERSITY AVE W SUITE S-305
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City | SAINT PAUL
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State | MN
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Zip | 55104-2801
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Country | US
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Telephone | 612-226-9485
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Fax | 651-222-3585
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Provider Business Mailing Address
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Address Line | 1821 UNIVERSITY AVE W SUITE S-305
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City | SAINT PAUL
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State | MN
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Zip | 55104-2801
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Country | US
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Telephone | 612-226-9485
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Fax | 651-222-3585
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Authorized Official
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Title or Position | PRESIDENT & OWNER
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Name | IDIL SAID NUR
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Credential | RN
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Telephone | 612-226-9485
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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 | R1757365
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License Number State | MN
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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 | 25979
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License Number State | MN
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