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General NPI Number Information
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NPI Number | 1982902938
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Entity Type | Organization
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Legal Business Name | KAALIYE SERVICES INC
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 12 ELTON HILLS DR NW SUITE # 205
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City | ROCHESTER
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State | MN
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Zip | 55901-3516
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Country | US
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Telephone | 507-289-5801
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Fax | 507-289-5885
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Provider Business Mailing Address
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Address Line | 12 ELTON HILLS DR NW SUITE # 205
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City | ROCHESTER
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State | MN
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Zip | 55901-3516
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Country | US
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Telephone | 507-289-5801
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Fax | 507-289-5885
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Authorized Official
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Title or Position | OWNER
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Name | MISS INTISAR OMAR HUSSEIN
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Credential |
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Telephone | 507-289-5801
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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 | 349273
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License Number State | MN
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