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NPI 1801939889

NPI 1801939889 : AAA HOME CARE SERVICES, INC : EDINA, MN

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General NPI Number Information
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    NPI Number           |    1801939889
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    Entity Type          |    Organization 
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    Legal Business Name  |    AAA HOME CARE SERVICES, INC 
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Dates
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    Enumeration Date     |    02/15/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    7701 FRANCE AVE S STE 218
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55435-5288
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    Country              |    US
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    Telephone            |    952-837-2576
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7701 FRANCE AVE S STE 218
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55435-5288
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    Country              |    US
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    Telephone            |    952-837-2576
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     CHARLES CG GIBSON 
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    Credential           |    
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    Telephone            |    952-837-2576
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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 |    MN
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