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General NPI Number Information
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NPI Number | 1801493721
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Entity Type | Organization
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Legal Business Name | SHIFAA CARE INC
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Dates
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Enumeration Date | 10/04/2020
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 8525 EDINBROOK XING STE 202B
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-2059
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Country | US
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Telephone | 612-876-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 8525 EDINBROOK XING STE 202B
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-2059
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Country | US
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Telephone | 612-876-7100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS ASHA A MOHAMED
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Credential |
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Telephone | 612-212-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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