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NPI 1871131433

NPI 1871131433 : EASE COMFORT LLC : RICHFIELD, MN

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General NPI Number Information
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    NPI Number           |    1871131433
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    Entity Type          |    Organization 
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    Legal Business Name  |    EASE COMFORT LLC 
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Dates
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    Enumeration Date     |    12/13/2019
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    Last Update Date     |    02/19/2020
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Provider Practice Location Address
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    Address Line         |    7620 HARRIET AVE 
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    City                 |    RICHFIELD
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    State                |    MN
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    Zip                  |    55423-4111
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    Country              |    US
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    Telephone            |    612-644-8005
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7620 HARRIET AVE 
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    City                 |    RICHFIELD
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    State                |    MN
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    Zip                  |    55423-4111
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    Country              |    US
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    Telephone            |    612-644-8005
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     FOWSIYA H ALI 
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    Credential           |    
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    Telephone            |    612-644-8005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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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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