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General NPI Number Information
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NPI Number | 1861216863
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Entity Type | Organization
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Legal Business Name | ALL FAMILY CARE INC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 20418 EVERTON TRL N
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City | FOREST LAKE
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State | MN
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Zip | 55025-8161
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Country | US
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Telephone | 612-532-5889
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Fax | 651-204-2868
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Provider Business Mailing Address
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Address Line | 20418 EVERTON TRL N
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City | FOREST LAKE
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State | MN
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Zip | 55025-8161
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Country | US
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Telephone | 612-532-5889
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Fax | 651-204-2868
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOUA LO
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Credential |
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Telephone | 651-321-3214
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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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