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General NPI Number Information
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NPI Number | 1952599193
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Entity Type | Organization
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Legal Business Name | CBD HOMECARE, INC.
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 10650 COUNTY ROAD 81 SUITE 207
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City | MAPLE GROVE
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State | MN
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Zip | 55369-4075
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Country | US
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Telephone | 763-493-5067
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Fax | 763-493-5138
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Provider Business Mailing Address
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Address Line | 10650 COUNTY ROAD 81 SUITE 207
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City | MAPLE GROVE
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State | MN
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Zip | 55369-4075
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Country | US
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Telephone | 763-493-5067
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Fax | 763-493-5138
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. EMEKA LINUS CHIKWELU OKAFOR
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Credential | RN
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Telephone | 763-493-5067
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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 | 337936
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License Number State | MN
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