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General NPI Number Information
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NPI Number | 1982702932
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Entity Type | Organization
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Legal Business Name | TRU HEALTHCARE, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 3900 NORTHWOODS DR STE 240
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City | ARDEN HILLS
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State | MN
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Zip | 55112-6991
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Country | US
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Telephone | 651-285-0135
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Fax | 651-633-7301
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Provider Business Mailing Address
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Address Line | 3900 NORTHWOODS DR STE 240
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City | ARDEN HILLS
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State | MN
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Zip | 55112-6991
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Country | US
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Telephone | 651-285-0135
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Fax | 651-633-7301
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIM LIVELY
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Credential |
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Telephone | 651-789-8769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 430029700
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License Number State | MN
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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