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General NPI Number Information
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NPI Number | 1023977279
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Entity Type | Organization
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Legal Business Name | INFINITY MEDICINE LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1111 1ST ST
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City | WAUBUN
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State | MN
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Zip | 56589-4047
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Country | US
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Telephone | 218-204-0180
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Fax | 601-258-6667
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Provider Business Mailing Address
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Address Line | 29664 COUNTY ROAD 112
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City | WAUBUN
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State | MN
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Zip | 56589-2800
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Country | US
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Telephone | 218-204-0180
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Fax | 601-258-6667
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Authorized Official
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Title or Position | OWNER
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Name | JUSTINE WAMBACH
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Credential | APRN, FNP-C
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Telephone | 218-204-0180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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