MEDICARE: PROFESSIONAL LANGUAGE SPECIALITIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1528568508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL LANGUAGE SPECIALITIES

Provider Business Mailing Address
First Line	:	2929 CHICAGO AVE STE 140
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1345
Country	:	US
Telephone Number	:	612-756-7700
Fax Number	:	612-756-7701

Provider Business Practice Location Address
First Line	:	2929 CHICAGO AVE STE 140
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1345
Country	:	US
Telephone Number	:	612-756-7700
Fax Number	:	612-756-7701

Authorized Official
Title or Position	:	OPERATION LEADER
Name	:	MR. BOULES A ABDELMASSEH
Credential	:
Telephone Number	:	612-232-1125

Provider Enumeration Date	:	02/16/2018
Last Update Date	:	02/16/2018

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Directions to “PROFESSIONAL LANGUAGE SPECIALITIES ” Practice Location

Language	Start Address	Practice Location

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