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General NPI Number Information
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NPI Number | 1942174644
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Entity Type | Organization
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Legal Business Name | MILES OF CARES LLC
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 6043 HUDSON RD STE 140E
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City | WOODBURY
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State | MN
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Zip | 55125-1030
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Country | US
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Telephone | 651-500-4432
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Fax |
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Provider Business Mailing Address
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Address Line | 11247 DOGWOOD RD
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City | WOODBURY
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State | MN
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Zip | 55129-6204
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Country | US
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Telephone | 651-500-4432
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Fax |
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Authorized Official
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Title or Position | MANAGER/ DIRECTOR
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Name | NKECHI KATE OGBODO
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Credential | PT
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Telephone | 651-442-3533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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