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General NPI Number Information
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NPI Number | 1932849692
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Entity Type | Organization
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Legal Business Name | AMERICAN FAMILY CARE LLC
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2800 CLIFF RD E STE 250
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City | BURNSVILLE
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State | MN
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Zip | 55337-3396
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Country | US
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Telephone | 612-423-7099
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Fax | 612-423-7099
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Provider Business Mailing Address
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Address Line | 1074 139TH ST E
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City | ROSEMOUNT
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State | MN
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Zip | 55068-2270
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Country | US
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Telephone | 612-423-7099
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FEKDAU AYANA
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Credential |
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Telephone | 612-423-7099
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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 |
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License Number State |
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