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General NPI Number Information
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NPI Number | 1902495385
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Entity Type | Organization
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Legal Business Name | APPROACH ENTERPRISES L.L.C
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 1446 COUNTY ROAD B W
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City | ROSEVILLE
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State | MN
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Zip | 55113-4213
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Country | US
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Telephone | 763-445-1409
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Fax | 651-286-3300
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Provider Business Mailing Address
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Address Line | 311 EVERGREEN LN
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City | CIRCLE PINES
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State | MN
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Zip | 55014-7012
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Country | US
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Telephone | 763-445-1409
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Fax | 651-286-3300
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Authorized Official
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Title or Position | OWNER
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Name | HAYU ABDULLE
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Credential |
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Telephone | 763-445-1409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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