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General NPI Number Information
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NPI Number | 1013614163
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Entity Type | Organization
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Legal Business Name | CREATIVE THINKERS LLC
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2021 E HENNEPIN AVE STE LL20
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-2738
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Country | US
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Telephone | 617-489-7044
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Fax | 213-426-8025
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Provider Business Mailing Address
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Address Line | 2499 RICE ST STE 76
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City | ROSEVILLE
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State | MN
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Zip | 55113-3724
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Country | US
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Telephone | 612-581-0781
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | LADAN NUR
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Credential |
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Telephone | 617-206-0332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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