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General NPI Number Information
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NPI Number | 1982600094
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Entity Type | Organization
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Legal Business Name | CARE PLUS HHA INC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 1299 ARCADE ST STE 100
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City | SAINT PAUL
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State | MN
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Zip | 55106-2080
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Country | US
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Telephone | 763-529-5520
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Fax | 763-529-5521
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Provider Business Mailing Address
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Address Line | 1299 ARCADE ST STE 100
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City | SAINT PAUL
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State | MN
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Zip | 55106-2080
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Country | US
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Telephone | 763-529-5520
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Fax | 763-529-5521
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MAINHIA ALLY VANG
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Credential | BS
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Telephone | 763-529-5520
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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 | CLASS A - HOME CARE
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License Number State | MN
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