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General NPI Number Information
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NPI Number | 1861851545
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Entity Type | Organization
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Legal Business Name | ACCESS HOME HEALTH SERVICE, INC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 393 DUNLAP ST N STE 400K
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City | SAINT PAUL
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State | MN
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Zip | 55104-4235
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Country | US
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Telephone | 612-404-5058
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Fax | 651-925-0359
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Provider Business Mailing Address
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Address Line | 393 DUNLAP ST N STE 400K
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City | SAINT PAUL
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State | MN
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Zip | 55104-4235
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Country | US
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Telephone | 612-404-5058
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Fax | 651-925-0359
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Authorized Official
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Title or Position | OWNER
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Name | MR. AHMED ALI ABDIRAHMAN
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Credential |
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Telephone | 612-404-5058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | MN
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