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NPI Code Detail

MEDICARE: ADDISON FILUS

MEDICARE: ADDISON FILUS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor306912MN

General Provider Information

NPI Number : 1952256133
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADDISON FILUS
Provider Business Mailing Address
First Line : 7300 147TH ST W STE 600
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-7850
Country : US
Telephone Number : 952-997-3020
Fax Number :
Provider Business Practice Location Address
First Line : 7300 147TH ST W STE 600
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-7850
Country : US
Telephone Number : 952-997-3020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ ADDISON FILUS ” Practice Location

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