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General NPI Number Information
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NPI Number | 1023479706
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Entity Type | Organization
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Legal Business Name | COUNTER POINT RECOVERY
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 5022 BAKER RD
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City | MINNETONKA
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State | MN
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Zip | 55343
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Country | US
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Telephone | 612-735-3991
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Fax | 952-314-9599
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Provider Business Mailing Address
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Address Line | 5022 BAKER RD
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City | MINNETONKA
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State | MN
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Zip | 55343-4554
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Country | US
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Telephone | 612-735-3991
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Fax | 952-314-9599
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Authorized Official
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Title or Position | OWNER
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Name | MS. FARTUN AHMED
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Credential |
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Telephone | 612-735-3991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1080128
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License Number State | MN
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