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General NPI Number Information
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NPI Number | 1033715065
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Entity Type | Individual
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Provider Name | AUSTIN STREIFF
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Gender | Male
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Dates
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Enumeration Date | 12/06/2020
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Last Update Date | 12/06/2020
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Provider Practice Location Address
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Address Line | 3717 LEXINGTON AVE N
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City | ARDEN HILLS
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State | MN
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Zip | 55126-3081
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Country | US
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Telephone | 651-483-1504
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Fax | 651-483-0737
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Provider Business Mailing Address
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Address Line | 3717 LEXINGTON AVE N
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City | ARDEN HILLS
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State | MN
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Zip | 55126-3081
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Country | US
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Telephone | 651-483-1504
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Fax | 651-483-0737
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 124401
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License Number State | MN
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