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General NPI Number Information
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NPI Number | 1942162425
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Entity Type | Organization
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Legal Business Name | PARAGON HEALTH
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 3000 CENTERVILLE RD
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City | LITTLE CANADA
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State | MN
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Zip | 55117-1105
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Country | US
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Telephone | 763-313-0454
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 CENTERVILLE RD
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City | LITTLE CANADA
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State | MN
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Zip | 55117-1105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LENG VANG
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Credential |
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Telephone | 763-313-0454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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