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General NPI Number Information
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NPI Number | 1881373405
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Entity Type | Organization
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Legal Business Name | CARING PARADISE L. L. C.
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 4186 LEXINGTON AVE N
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City | SHOREVIEW
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State | MN
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Zip | 55126-6106
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Country | US
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Telephone | 612-479-2085
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Fax |
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Provider Business Mailing Address
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Address Line | 4186 LEXINGTON AVE N
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City | SHOREVIEW
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State | MN
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Zip | 55126-6106
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Country | US
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Telephone | 612-479-2085
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ADAN AHMED ABDIHOOSH
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Credential | OWNER
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Telephone | 612-644-8021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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