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General NPI Number Information
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NPI Number | 1841777349
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Entity Type | Organization
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Legal Business Name | APPLEWOOD HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 6511 IRVING AVE S
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City | RICHFIELD
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State | MN
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Zip | 55423-1225
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Country | US
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Telephone | 507-261-9439
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 E HENNEPIN AVENUE SUITE 402-1
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City | MINNEAPOLIS
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State | MN
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Zip | 55413
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Country | US
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Telephone | 507-261-9439
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | ABDULLAHI OMAR OSOBOW
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Credential | REGISTERED NURSE
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Telephone | 507-261-9439
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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 | 386138
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License Number State | MN
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