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General NPI Number Information
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NPI Number | 1881643641
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Entity Type | Organization
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Legal Business Name | CNS MANAGED HEALTH CARE, INC.
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 1133B 7TH AVE SW
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City | ROCHESTER
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State | MN
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Zip | 55902-6388
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Country | US
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Telephone | 507-289-2411
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Fax | 507-529-0360
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Provider Business Mailing Address
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Address Line | 1133B 7TH AVE SW
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City | ROCHESTER
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State | MN
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Zip | 55902-6388
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Country | US
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Telephone | 507-289-2411
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Fax | 507-529-0360
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALICE SYVERSON
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Credential | RN
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Telephone | 507-289-2411
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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 | 330402
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License Number State | MN
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