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General NPI Number Information
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NPI Number | 1912824590
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Entity Type | Organization
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Legal Business Name | ABLOOM COMFORT HOME CARE
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 1196 CEDARWOOD DR
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City | WOODBURY
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State | MN
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Zip | 55125-2047
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Country | US
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Telephone | 612-409-4351
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Fax |
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Provider Business Mailing Address
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Address Line | 13500 GROVE DR
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City | MAPLE GROVE
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State | MN
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Zip | 55311-4689
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Country | US
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Telephone | 612-409-4351
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRUCE TOLLEFSON
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Credential |
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Telephone | 612-409-4351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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